NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SEC
96
[SECT. XVII.
LUNATIC ASYLUMS.
and treatment, and that I have formed this opinion on the following grounds,
namely,—
1. Facts indicating insanity observed by myself (here state the facts).
2. Other facts (if any) indicating insanity communicated to me by
others (here state the information, and from whom).
(Signed) —
FORM B.
Order for the Reception of a private Patient (see Sub-section VII).
I, the undersigned, hereby request you to receive A. B., a lunatic (or
an idiot, or a person of unsound mind), as a patient into your asylum.
Subjoined is a statement respecting the said A. B.
(Signed) Name.
Occupation (if any).
• Place of abode.
Degree of relationship (if any), or other circumstances of
connection with the patient.
Dated this
day of
one thousand eight
hundred and
To the Superintendent of the Asylum at
(describing the Asylum).
STATEMENT.
(If any of the particulars in the Statement be not known, the fact to be so stated).
Name of patient, with Christian name at length.
Sex and age.
Married, single, or widowed.
Condition of life, and previous occupation (if any).
The religious persuasion, as far as known.
Previous place of abode.
Whether first attack.
Age (if known) on first attack.
When and where previously under care and treatment.
Duration of existing attack.
Supposed cause.
Whether subject to Epilepsy.
Whether suicidal.
Whether dangerous to others.
Whether found lunatic by inquisition or inquiry, under order of
Court, and date of commission or order for inquisition or
inquiry.
97
SECT. XVII.]
LUNATIC ASYLUMS.
VOL. II
Whether any member of patient's family has been, or is affected
with insanity.
(Signed) Name.
When the person signing the statement is not the person who
signs the order, the following particulars concerning the person
signing the statement are to be added, namely,—
Occupation (if any).
Place of abode.
Degree of relationship (if any), or other circumstances of connec-
tion with the patient.
FORM C.
Mode of taking notes of the case of an Insane Patient.
Disease.
Name.
Age.
Sex.
By whom sent.
Date of admission.
Temperament,
Married or single.
Number of children.
Occupation.
Where born and residence.
,
Religion
Whether first attack, and duration of present attack.
Moral.
Cause.
Physical.
Whether hereditary or otherwise.
Habits and disposition.
Degree of education.
Natural affection, perverted or not.
Evidences of insanity.
Form of insanity.
Dangerous to self or others.
Certificates. A
Previous treatment.
State of bodily health.
Any injuries from violence.
N
SECTION XVIII.
RECRUITING (NATIVE ARMY).
1. RECRUITS.—Men presenting themselves for enlistment at regimental
head quarters are, if approved by the Commanding Officer, to be sent for
examination to the medical officer, and if pronounced by him as fit for the
service, they are to be enlisted. A certificate of the form annexed is to be
entered at the foot of the register of enlistments in the monthly return, and
signed by the medical officer for every Recruit passed by him.
2. The medical officers on whom the duty of examining Recruits brought
by detached parties devolves, are garrison and senior surgeons or assistant
surgeons of stations ; and where none of these may be present, the senior
warrant or non-commissioned medical officer. Medical officers holding civil
charges are expected, in the absence of a military surgeon, to afford the
recruiting service the benefit of their professional knowledge.
3. STANDARD OF HEIGHT.—The standard height and age of recruits for
the various branches of the service, are as follows : lads not under 14 years of
age may be enlisted as drummers, buglers, private drummers, and musicians,
without reference to army head quarters, provided they are certified by a
medical officer to be fit and of proper size for their age, but they will not be
allowed to count service while under age.
Height.
Years of Age.
Ft. in.
Not under
Not above
Golundauze ...
...
5-6
... 16
. . .
2 2
Light Cavalry ...
...
5-6.
... 16
...
22
Infantry
...
...
5-5
... 16
...
22
Sappers and Miners ...
5-5
... 16
. . . 22
Store Lascars ...
...
5-4
... 16
. .
22
Regimental Lascars . . .
5-4
. . . 16
. . .
22
Puckallies
...
. . .
0-0
... 16
...
25
4. All recruits are stripped naked before inspection. They are to be
carefully measured round the chest, and no man is to be taken who does not
measure at least 32 inches above, and 31 inches below the nipple.
SECT. XVIII.]
RECRUITING (NATIVE ARMY).
9 9
5. RECRUIT BOYS.—Recruit boys, being growing lads, and not under 16
years of age, may be transferred to the ranks one inch below the regulated
standard.
6 SAPPERS AND MINERS.—Men of 5 feet 4 inches are permitted to be
enlisted for the Sappers, provided they are of active make, athletic, and not
under 16 years of age. Store and Regimental lascars of 5 feet 3 inches may
be entertained with the same proviso.
7. The Surgical inspection of Recruits.—SELECTION OF RECRUITS
—In the selection of Recruits, medical officers must be guided by their
judgment and experience in choosing men possessed of the physical capacity
requisite for the endurance of toil, hardships, and exposure, as well as of
sufficient intelligence. Recruits from country districts are far preferable to
those from towns.
6. The principal points to be .attended to are as follows :-
(a.) That the Recruit is sufficiently intelligent.
(b.) That his vision is good, clear, and strong.
(c.) That he has no defect of either the eye or its appendages.
(d.) That his hearing is acute and distinct.
(e.) His speech free, strong, and without impediment.
(f.) Teeth good.
(g.) Throat healthy, and without marks of disease.
(k.) Chest capacious and well formed, with the power of fully
expanding the same.
(i.) Belly lank and compressed.
(j.) Spermatic chords and testes free from disease.
(k.) No rupture or tendency to the same.
(1.) Limbs well formed and fully developed, with their natural and
full power.
(m.) Free and perfect motion of all his joints, without any Weak-
ness from sprains of the knee or ankle-joints.
(n.) That there are no impediments to free action from wounds,
fractures of the bones, or other causes.
(o.) That the feet and toes are well formed, the former arched (not
flat), and that the latter do not crowd upon each other, do not
overlap, are not superabundant.
(p.) That there is full power, with free and perfect motion, of the
shoulder, elbow, and. wrist-joints, also of the hands and fingers.
(q.) Any appearance of disposition to scrofula, phthisis or leprosy,
catarrhs, or-impeded respiration under exertion, weak or impaired
constitution, deficient intelligence; any defects in vision, voice, or
hearing, with marks of disease in these organs; hernia, or weak
100
RECRUITING (NATIVE ARMY).
[SECT. XVIII.
ness of the rings ; disease of the spermatic chords or testes ;
hæmorrhoids ; varices of the legs ; nodes ; cicatrices, with
adhesions; flat feet ; ringworm ; sores, or old wounds; with depres-
sion or injury to the bones of the head, loss of many teeth, or
several being in a state of decay, or loss of front teeth ; cupping,
medical treatment, and traces of corporal punishment, are just
causes of rejection.
9. Upon entering the inspection room, the Recruit, being undressed, is
to walk across it several times pretty sharply, to show whether he has the
perfect use of his legs. He is to hop on one leg across the room and back, then
on the other leg. He is then to be halted and set up in the position of a
soldier under arms, with his knees about an inch apart, and examined both in
front and rear, from head to foot. Should no material defect be discovered, the
Recruit is next to perform, in imitation of the havildar, or native officer, the
following evolutions :—To extend the arms at right angles with the trunk of the
body, to rotate both arms, to touch the shoulders with the fingers, to place the
backs of the hands together above the head—and in this position he is to cough,
while the examiner's hand is applied to the rings of the external oblique
muscles. The chest, heart-sounds, and pulse are to be examined. The
spermatic chord and testes are to be examined, and the medical officer is to
pass his hands over the bones of the legs. The recruit is then to stand upon
one foot, and to move the ankle joint of each extremity alternately ; and if any
doubt is entertained respecting the efficiency of this joint, or any part of the
leg or foot, the Recruit is to hop on the suspected limb for a short period, and
its size and aspect are to be compared with those of the corresponding joint
or part of the opposite limb. He is next to kneel on one knee, and to rise,
and then on the other, and to rise, and subsequently on both knees ; then to
stoop forwards and place his hands on the ground ; while he is in this position
it ought to be ascertained whether he be affected with hemorrhoids.
10. He is then to extend his arms and hands forward for examination,
and to bend and extend the elbow and wrist-joints and the fingers, and to
rotate the forearm.
11. The head is next to be examined, including the scalp, ears, eyes
nose, mouth, the state of his teeth ; the faculties of hearing and of distinct
enunciation are to be ascertained. In regard to the mental faculties, the
inspecting medical officer should invariably ask the recruit a few short
questions, such as for what corps he is enlisted, what occupation he has
previously followed, &c., with a view to ascertain the condition of the intellect,
12. It is to be ascertained whether the Recruit has had small-pox or
been vaccinated.
SECT. XVIII.]
RECRUITING (NATIVE ARMY).
101
13. Every Recruit is to be vaccinated, if requisite, on enlistment.
14. REJECTION OF RECRUITS.—Medical officers whose duty it may be to
inspect Recruits, will be careful not to reject men on insufficient grounds. It
may occasionally happen, that notwithstanding the strictest scrutiny on their
part, men whom they had passed may even after a short period, be rejected,
on subsequent examination, on account of some latent disease which fatigue
may have excited into action, or from sickness recently contracted. If medical
officers will satisfy themselves that the Recruits they pass are at the time free
from all defects which could possibly be detected, they will have performed
all that can be expected from them; but wilful negligence in the discharge of
this most important duty will be seriously noticed.
FORM OF CERTIFICATE.
To be entered at foot of Register of Enlistments in Monthly Return.
I do hereby certify that I have minutely examined every individual
enlisted in the Regiment, as entered in the above Register, * with
the exception of those marked X, and that, with reference to the recruiting
regulations, all are, in my opinion, perfectly eligible for the service.
Station,
Date,
E. F.
Surgeon Regiment.
FORM.
REGISTER OF RECRUITS.—Roll of Candidates for Enlistment, and of
Recruits for the Regiment, submitted to me for examina-
tion, by (enter name, rank, &c.) Commanding a Recruiting party detached
from that Regiment.
N A M E O F R E C R U I T .
*Probable
Age.
*Height.
* Inches
round the
chest.
C a s t e . * C o l o u r . *Pa r t i c l ua r a ppe a r -
a n c e , m a r k e s , s c a r s , & c .
N a t i v e c o u n t r y a n d v i l l a g e .
Enlisted.
R E M A R K S . *
Y e a r s .
M o n t h s .
F e e t .
I n c h e s .
A b o v e N i p p l e .
B e l o w N i p p l e s .
Wh e n .
W h e r e . B y w h o m .
.
NOTE.—Candidates for enlistment, viz., men who have not been enlisted, are not to be
entered in this roll, unless approved.
* The words in Italics to be inserted only if necessary.
102
CORRESPONDENCE.
[SECT. XIX.
I do hereby certify, that I have minutely examined every individual in
the above Roll, and that with reference to the recruiting regulations, all, with
the exception of those rejected, are perfectly eligible for the service.
Station,
Date,
A. B.
Senior Surgeon (Station).
15. Medical officers at out-stations examining recruits, proposed for enlist-
ment by recruiting parties, are directed to keep a descriptive register similar
to the above, of all recruits passed by them as fit for the service. As there is
reason to suppose that other persons have occasionally been substituted for
passed recruits when en-route to join their regiments, Medical Officers are
enjoined to be very particular in entering under the proper head all marks, scars,
&c., which may be observable with a view to prevent such practices, and to
secure themselves from the responsibility of having passed ineligible recruits.
SECTION XIX.
CORRESPON DENCE.
1. GENERAL RULES.—The following instructions are to be adhered to by
all medical officers in their official correspondence.
2. Every document is to be legibly written ; and officers, in affixing
their names to public documents, are invariably to specify under their signa-
tures their rank, regiment, or department, to which they belong.
(a.) Communications from superiors to subordinate officials, may be either
in the form of an official letter, or of a memorandum, but those addressed to
superior authorities should always be made in the form of a letter.
(b.) LETTERS
.—Every official letter is to have its number, place from
whence written and date, also the rank, name, and appointment of the person
from whom it is, and the official designation of the person to whom it is
addressed; all entered at the commencement thus :
—
No. 360.
From Assistant Surgeon A. B.,
(Place and Date.)
Civil Surgeon of
————————————
To the Deputy Inspector General of Hospitals,
Sir,—————————————————
————————————————— —————————————————
I have the honour to be, Sir,
Your most obedient servant,
— — — — — —
A s s i s t a n t S u r g e o n .
Civil Surgeon.
of———————
SECT. XIX.]
CORRESPONDENCE.
103
(c.) Every letter should contain full particulars upon the subject to
which it relates, and be completely intelligible in itself without reference to
any other document.
(d.) Every letter must refer to one subject only.
(e.) Letters are to be written on foolscap paper, with a quarter margin
left blank on the inner side of the page. A quarter sheet of paper may be
used for short letters ; when the communication extends beyond a whole
page, and not beyond a page and half, hal
f
a sheet is to be employed. The
bottom half of the page is to be folded down on the upper half, and the letter
to be continued. A whole sheet is to be used when the writing exceeds a
page and half.
(f.) Paragraphs of letters are to be numbered
(g.) When another document is referred to, its number, date, and
purport are to be quoted in the margin left blank for such purpose.
(h.) When a G. O. is quoted, the page on which the order is to be
found is always to be mentioned, as well as the number and date of the order.
(i.) Enclosures are to be described in the margin, or in a separate
schedule. The transmission of unnecessary enclosures is to be avoided, and
when additional papers are forwarded, all blank fly leaves are to be removed
from them. When correspondence in original is forwarded, the whole should
be tacked together in order, with an additional half sheet of paper for the
endorsement. This will be considered as one enclosure. In copying documents
for despatch to superior authority, a strict attention to accuracy is enjoined.
3. ENDORSEMENT OF LETTERS.—Every letter is to be endorsed on the
outer fold as below :—
From—————————————————— ————————————————————
To——————————————————— ————————————————————
No. 360.
Bangalore 18 May 1868.
————————————————————
Reporting death of 2nd Class Hospital Assistant.
————————————————————
Spaces of one and a half inch to be left blank at top and bottom, for
remarks to be entered at Head Quarters.
4. In folding official papers, the bottom half of the page or sheet is to be
folded down On the upper half, and the same process repeated completes the
fold. The docket or endorsement is to be on the back of the 2nd fold from
the top of the sheet. Documents of quarter of a sheet will be folded longitu-
dinally, and docketed on the left page. Papers incorrectly folded or endorsed
are to be returned for correction by Deputy Inspector General of Hospitals.
104
CORRESPONDENCE.
[SECT. XIX.
5. BINDERS.—No writing, which is meant to be recorded, is to be made
on the slips of paper in which official documents are bound together.
Memoranda may be endorsed on the documents themselves.
6. LETTERS OF ADVICE.—Returns and other papers complete in themselves
require no explanation to accompany them, and are to be sent without a letter.
7. ADMINISTRATIVE OFFICERS RESPONSIBLE FOR CORRECTNESS OF PAPERS,
&C.—Administrative medical officers are responsible for the correctness of
documents submitted by them. It is their duty to endeavour to adjust all
matters that come within the scope of their authority, and in transmitting
applications or correspondence to the head of their department, they are to
state their concurrence or otherwise, adding such additional observations
based on local knowledge, as may be necessary to enable the authorities to
come to a final decision on the question, without further reference and
correspondence.
8. CHANNEL OF CORRESPONDENCE.—All correspondence affecting depart-
mental or individual interests of medical officers must be forwarded through
the administrative medical officer of the circle, to the head of the department.
All regimental or local matters, to the officer commanding, or local authority
concerned. Correspondence intended for submission to Government or the
Commander-in-Chief, must be forwarded through the medical department.
9. APPEALS.—Should the administrative medical officer of a circle con-
sider the reference of a subject unnecessary or undesirable, it will be his duty
to inform the executive Medical Officer of his opinion on the subject, but should
the appeal to the head of the department be still desired, it is to be forwarded
by the Deputy Inspector General of Hospitals, with such observations as it
appears to him to call for.
10. MEMORIALS.—All memorials are required to be forwarded in quintu-
plicate, through the prescribed channel. Printed or lithographed memorials
are prohibited; nor are any to be prepared in the terms of a circular or
combined address. Every memorialist is restricted to setting forth his own
case in temperate and respectful language, and no one is allowed to introduce
into a memorial questions affecting the regulations and system of the service.
11. PUBLISHING OFFICIAL RECORDS.—Access to official records is only
permitted to those who are entrusted with the duties of the office or department
to which they belong, and the same are not to be made public, or communi-
cated to individuals unconnected with such offices or departments, without the
knowledge or sanction of the authorities concerned. The only legitimate use
an officer can make of documents, or information of which he may become
possessed in his official capacity, is for the furtherance of the public service in
the performance of his duty. If his official conduct be impugned, he is at
SECT. XIX.]
CORRESPONDENCE.
105
liberty to seek redress by an appeal to superior authority, through the regular
channel. On the other hand his publishing official documents, or availing
himself of them for carrying on personal controversies, or for any private
purpose without due authority, will be viewed and treated as a positive breach
of official trust.
12. ENVELOPES.—Envelopes are to be made of the lightest paper com-
patible with the purpose, and are to be closed with wafers, paste, or gum.
13. POSTAGE SERVICE LABELS.—Official covers despatched from an office
not privileged, and addressed to other than a privileged office, should be
prepaid by service labels.
14. SERVICE BEARING LETTERS.—Communications sent by departmental
officers in their official capacity, which relate nevertheless to the private
interests and concerns of the individuals concerned, are to be sent " service
bearing " Covers so addressed will be charged, on delivery, with "prepaid"
rates of postage. All petitions, applications for appointments, transfers,
inquiries about title to leave, &c., will be replied to under this rule.
15. Telegraphic Messages.—The telegraph is an extraordinary means
of communication which is not intended to be used in the transaction of
public business, except on urgent and important occasions, and when the
saving of time effected by the telegraph is of real importance to the public
interests.
16. Telegrams relating to leave, pay, promotion, or appointment, or
other matters of a private character, cannot be sent at the cost of the public
service, and officers desiring to receive telegraphic replies to messages on such
subjects, must state in the message that the reply has been prepaid.
17. All public service messages should consist of the fewest possible
words compatible with clearness. Brevity, next to clearness, must be con-
sidered the most important consideration in telegraphic messages.
VOL. II.
0
SECTION XX.
REPORTS AND RETURNS.
I.—Military.
II.—Civil.
(a.) Civil Hospitals.
(b.) Jails.
(c.) Police.
I.—Military.
I
. REGIMENTAL BOOKS AND RETURNS.—The following books shall be kept
at every Regimental Hospital by the Surgeon or Medical Officer in charge :—
(a.) MEDICAL HISTORIES BOOK.—Medical Histories Book, in which the
Medical History of every man joining the Regiment is to be kept to the date
of his death, discharge, or invaliding, or transfer to another corps or to depôt.
(b.) ADMISSION AND DISCHARGE BOOK.—An Admission and Discharge
Book, in which every case is to be entered.
(c.) STATISTICAL NOMENCLATURE.—In all statistical and medical forms
and records of Regimental and General Hospitals the statistical nomenclature
drawn up under the authority of the Royal College of Physicians is to be
made use of.
( d. ) MEDICAL CERTIFICATE BOOK.—Whenever a patient is left in charge
of another Surgeon, or transferred to a General Hospital, a medical certificate
is to be sent with him, which is to be filled up and transmitted by the Medical
Officer with whom the patient was left, according to the memorandum
printed on it.
(e. ) MEDICAL CASE BOOK.—A Medical Case Book, in which the history,
etiology, diagnosis, treatment, and results, with post mortem appearances, in
case of death, of every important case, are to be entered in detail. All cases
in which any extras, except tea, or other diluents are given, are required to
be entered, as regards European troops.