NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 28 )
has been uniformly good and he is anxious to learn his profession, He
receives daily tuition from me and Hospital Assistant Rajab Khan.
MOHUMDI BRANCH
DISPENSARY IN
KHERI.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, .. ..
Relieved and cured, .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. .. ..
Remaining, .. .. .. ..
Total, .. ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, .. ..
1872.
36
224
4,190
4,450
3,779
390
229
52
4,450
7.19
48.64
55.83
1873.
52
282
3,470
3,804
3,358
380
12
54
3,804
7.81
47.82
55.63
Surgical operations.
Surgical operations.
Capital, .. ..
Minor, .. ..
Total, .. ..
..
183
183
..
209
209
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government Allowances, .. .. ..
Other Sources,
..
..
.,
Total, .. ..
..
576
418
994
0
6
6
0
10
10
521
576
14
0
6
0
..
1,097 14 7
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Cost of Dieting each In-door Patient, .. ..
684
87
52
99
71
994
0
0
1
5
11
4
6
0
0
9
0
9
4
10
9
684
86
136
78
113
1,897
0
0
6
8
0
0
14
0
0
1
1
3
1
6
9
"Remarks regarding the conduct and qualifications of the Hospital
Assistant :—
" Second Class Hospital Assistant Jehangir Khan has been in charge
of this Dispensary throughout the year ; he is an intelligent well conduct-
ed man possessing a very fair knowledge of his profession; he speaks and
writes English very well.
( 29 )
GOLA BRANCH
DISPENSARY IN
KHERI.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, .. ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. ..
Remaining, .. .. .. ..
Total, .. ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, .. ..
1872.
48
304
4,251
4,603
4,212
243
121
27
4,603
7.05
41.5
48.10
1873.
27
371
4,183
4,581
4,184
330
47
20
4,581
7.95
35.79
43.74
Surgical operations.
Surgical operations,
Capital, .. ..
Minor, .. ..
Total,
..
316
316
..
65
65
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government Allowances, .. .. .. ..
Other Sources, .. .. .. ..
Total, .. ..
438
627
3
3
4
5
..
1,065 6 9
440
576
8
0
8
0
..
1,016 8 8
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Cost of Dieting each In-door Patient, .. ..
684 0 0
..
..
83
146
914
..
7
11
3
..
8
8
4
684
86
108
80
57
1,016
0
0
7
3
9
3
8
1
0
11
6
5
10
8
0
"Remarks regarding the conduct and qualifications of the Hospital
Assistant:––
"Second Class Hospital Assistant Mir Karamat Husen has been in
charge of the Dispensary throughout the year ; he is not a well qualified
man and has a limited knowledge of diagnosis; he speaks and writes
English very badly. On my first visit to his Dispensary I found all the
Hospital Registers kept in vernacular; he has however since then im-
proved himself and the books are now kept in English. I believe he is
kind and attentive to the sick under his care,"
Dr. Higginson has always held the reputation of being an intelligent
and industrious Medical Officer. His successful treatment of cholera by the
hypodermic injection of Hydro Chloral is worthy of being reproduced in
this report, although a much wider field of experiment is necessary before
the remedy can be considered a specific, as it has proved as complete a
failure in other hands as it was successful in his.
( 30 )
Copy of a Report dated 10th October 1873, from Civil Surgeon, Kheri, to
Deputy Commissioner Kheri.
" In compliance with the request of the Commissioner. I have the
honor to submit a brief report concerning the nineteen cases of cholera,
which I treated by the Hypodermic Injection of Chloral Hydrate. The
solution used was of an uniform strength throughout, and contained one
part of the medicine to ten of water.
2. " On the 9th of last month, news was received that cholera had
broken out in the village Chaoneh about a mile from the Sadr, two deaths
had already occurred. I arrived at the village at 5 o'clock P. M. and found
five persons ill, one of whom, a Bhargin, died just as I entered her house;
of the others, two were in severe and two in mild collapse when the treat-
ment was begun—all were cured. On the 11th one case occurred, an old
man, Durzi caste, in mild collapse when first seen—cured. On the 12th
two cases occurred, one a boy in severe collapse when seen, the other a
woman, collapse impending—both cured. On the 16th a Kúrmin was at-
tacked in mild collapse when treatment was commenced—cured. On the
19th a Kúrmin was attacked, in severe collapse when seen—cured. On
the 21st a Durzin was attacked, in severe collapse when treatment was
commenced —cured; this was an exceedingly bad case. On the 22nd
three cases occurred, collapse impending in each when treatment was be-
gun—all cured. On the 24th three cases occurred, two in mild collapse
and collapse impending in the third when treatment was begun—all cured.
On the 25th a Kúrmin was attacked, in intense collapse, an hour and a
half after the injections were made the pulse could be felt again at the
wrist; I then had to leave, directions were given to the Native Doctor to
repeat the injections if the pulse did not improve in an hour, the directions
were not fully carried out, the woman died about four hours after. On
the 28th a Brahman was attacked, in intense collapse when treatment
was commenced, died an hour and a half after ; this was the only case in
which the treatment had no effect whatever, it was a terribly rapid one.
On the 29th a Barhai was attacked, in mild collapse when treatment was
commenced—cured. This man since died from exhaustion, he was about 70
years old and very feeble. No cases have occurred since the 29th Sep-
tember.
3. " In the Hardui district last year cases of cholera were treated
with Chloral Hydrate, but the remedy was given by the mouth in almost
all the cases. Dr. McReddie had not a favorable experience of the hypo-
dermic method. The solution he used was treble the strength of mine and
caused sloughing and irritation. Nothing of this kind followed in any one
of my cases beyond a very slight hardness at point of puncture and a little
pain ; there was no local evidence twenty-four hours after that the injec-
tions had been made. Dr. McReddie was very successful, 82 per cent . of
his cases recovered but taking his very bad cases alone he lost nearly 50
per cent ; 89 per cent. of the above cases recovered and 72 per cent of the
very bad ones.
( 31 )
" The injections were made in the arms and thighs, the Canula of the
Syringe being plunged pretty deeply into the flesh. The greatest quantity
of Chloral used in any of my cases was sixteen grains or eight injections ;
if the case was a bad one four injections were made at once, then nothing
was done for an hour, when the treatment was repeated if necessary ; as
a rule sleep was induced within two hours, nothing else was done except
mulling the limbs and giving occasionally some cold boiled water.
4. " There is no necessary for me to say much as to the rationale of
the treatment. Surgeon Hall R. A., the originator, has made it public.
Chloral Hydrate being a powerful sedative soothes the irritated nerves,
and so relaxes the contracted vessels, the blood is once more uniformly
distributed and consequently the pulse re-appears at the wrist, the cramps
and burning abdominal pains subside, sleep is induced, the respiration be-
comes regular, the discharges lessen, the face fills out, the voice becomes
stronger and the natural secretions are restored.
" I sincerely hope that this form of treatment of cholera will be given
an extensive trial.''
Copy of Doctor Hall's letter dated 18th October 1873, to Commissioner of
Seetapoor.
"In compliance with your request I have the honor to make the fol-
lowing statement, on the subject of the treatment of Cholera by the Hy-
podermic Injection of Chloral Hydrate.
1. "In May 1869 I wrote a paper, entitiled "Thoughts about Cholera"
which was published in " The Indian Annals of Medical Science'' for
March 1870, No. XXVI. In that paper I advanced a theory, that in the
cold stage, or collapse of Cholera, instead of exhaustion of the nervous sys-
tem (as was generally supposed) there is intense irritation of certain sets
of nerves; and I suggested that the principle which should guide us in the
treatment of this condition, was the endeavour to get the nervous system
quieted by the action of pure sedatives ; not to give stimulants, as was
very frequently done. I pointed out that it was of little use giving medi-
cines by the mouth, on account of the frequent vomiting; and I recom-
mended the practice of the hypodermic injection of sedatives in the state
of collapse.
2. "When I wrote, Chloral Hydrate had only recently been discover-
in Germany. I had never used it, and was not aware of its true action
on the nervous system. Last August twelve months, Surgeon Major
collis of the Buffs and myself conducted a series of experiments on large
"frogs, to ascertain the action of numerous drugs on the heart and
nerves. We found that Chloral Hydrate is one of the most powerful
sedatives that we possess.
3. "On the 21st August last a soldier of "the Buffs" was admitted
into Hospital at this Station sufferring from Cholera. Surgeon Major
Collis kindly placed him under my care, as he knew that I was anxious to
treat a case, not having had an opportunity of doing so for nearly four
( 32 )
years. When I saw the patient he was in collapse. I dissolved (10) ten
grains of Chloral Hydrate in (100) one hundred drops of water and inject-
ed this quantity subcutaneously in four different places in the arms. The
effect was most satisfactory, reaction being completely established in about
5 hours. The man recovered without any bad symptoms, and there were
no signs of ulceration where the solution had been injected.
4. "I mentioned the result to Dr. Higginson, Civil Surgeon of Kheri,
Oudb, (among others) and he said he would try this plan if he had an op-
portunity. He has done so, and the report he has furnished shews the
success of it. Statistics will show that no other plan of treatment hither-
to adopted has been followed by so many cures.
5. " I attach great importance to the strength of the solution used,
(1 part in 10 of water) if it is too strong, it probably will not absorbed
into the blood, and only cause ulceration or sloughing.
6. " The following is the plan of treatment that I recommend for the
three stages of Cholera. During the premonitory diarrhœa, (which is al-
most always painless) (30) thirty drops of dilute Sulphuric Acid in a large
wine glassfull of strong Camphor Water every hour. If this does not
stop it and vomiting comes on, commence the hypodermic injection at once.
If the patient is first seen in collapse inject 10 grains dissolved in 100
drops of water in 4 or 5 different places according to the size of the Sy-
ringe. This will probably be enough, but if reaction does not commence
within an hour, inject again. There is generally a great craving for cold
water, which may be given in any quantity ; never mind if the patient
vomits, as reaction proceeds he will retain it. But no opium or stimu-
lants are to be given in collapse.
" After reaction if secondary fever supervenes, quinine in varying doses,
every one or two hours may be given with milk, beef-tea and mild
stimulants."
Copy of a letter from the Deputy Surgeon General, Indian Medical Service,
Lucknow Circle, to the Junior Secretary to the Chief Commissioner
of Oudh, dated Lucknow the 10th November 1873. No. 120/c.c.
" In reply to your letter No. 5166, dated the 31st ultimo, calling for
my opinion on the subject of Hypodermic Injection of Chloral Hydrate.
" Doctors Higginson's and Hall's reports are so satisfactory as to the
results of their experiments and to the cures effected ; and the descrip-
tion of the mode of application and the strength of the remedy employed
so clearly laid down, that I think it very advisable the report should be
printed in its entirety for distribution to the various Medical officers,
Civil and Military, within the Circle."
( 33 )
HARDUI SADR
DISPENSARY.
Dr. R. D. Logg in Medical Charge. He reports as follows :—
" The Hardui Sadr Dispensary shows a daily average attendance of
8.8 in-door, and 23.61 out door patients, the total daily attendance being
31.69, or as compared with the year 1872, showing a decrease of 2.1 in-
door and an increase of 5.14 out-door patients, making a difference of
3. 23 in the total daily attendance, the figures of 1872 having stood as
follows, in-door 10.09, out-door 18.47, or a total daily attendance of
28.56.
Operations.
" Fourteen capital operations were performed during the year under
report, against fifteen in the previous year, nine of which were performed
either by my predecessors, or the Native Hospital Assistant, before I
took medical charge, and five since, one for removal of stone in the blad-
der by Hospital Assistant Kalí Prasád, and 3 for the same by myself,
with one for extraction of the lens, for cataract. The following are the
operations performed shown in detail: 8 lithotomies, 2 for cataract, 2 re-
duction of dislocations one of the thumb and one of the lower jaw, 1 for
excision of cystic tumour, and one for the removal of a small calculus
from the urethra. The minor operations performed were 219. There
were three fatal cases unfortunately among those cut for stone. The
number of fever cases treated were, 673 out-door, and 9 in-door, in 1872
there were 625 out-door and 8 in-door, showing an increase of 49 cases.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted. .. .. ..
Total, .. ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. ..
o' .. .. .. ..
Total, .. ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, .. ..
1872.
23
206
3,199
3,428
2,706
687
15
20
3,428
10.09
18.47
28.56
1873.
20
239
3,897
4,156
3,284
809
22
41
4,156
8.8
23.61
31.69
Surgical operations
Surgical operations. Capital, .. .. ..
Minor, .. .. ..
Total, .. .. ..
15
169
184
14
219
233
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native Ditto, .. .. .. ..
Government Allowance, .. .. .. ..
Other Sources, .. .. .. ..
Total, .. ..
57
1,907
456
0
8
0
0
7
0
..
2,420 8 7
113
1,964
456
3,125
5,658
0
5
0
5
10
0
0
0
2
2
( 34 )
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Cost of Dieting each In-door Patient, .. ..
1872.
612
205
0
0
0
2
..
75
443
1,335
0
7
6
14
1
6
10
6
3
1873.
612
251
220
85
224
1,392
0
0
5
2
6
0
15
1
0
8
3
9
9
5
5
" Remarks regarding the conduct and qualifications of the Hospital
Assistant:—
Second Class Hospital Assistant Kálí Prashád attached to the Sadr
Dispensary is a very hard working man, and has given me every satis-
faction during the year.
SANDILA
BRANCH DISPENSARY
IN HARDUI.
"Had an average daily attendance of 94.53 out-door and 1.2 in-door
patients, against 98.10 out-door and 1.30 in-door in 1872. Want of funds
accounts, as in last year, for the small number of in-door patients, which is
to be regretted, but I trust will be able to be remedied in the present year.
'Fever.
" There were 560 cases of fever treated out-door, and only 2 in-doors;
in 1872 there were 657 out-door and 11 in-door, showing decrease of
100 cases, although fevers were reported very prevalent by the Police in
this Tahsíl during the year under review.
Operations.
"11 capital and 387 minor operations were performed during the year,
Of the capital operations, 5 were for removal of tumours, and 6 tapping
in Ascites.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, ...
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. .. .. ..
Remaining, .. .. .. ..
Total, ..
Daily Average attendance of In-door Patients, ..
Do.
Do,
Out-door Patients, ..
Total, ..
1872.
102
62
7,148
7,312
5,953
1,197
..
162
7,312
1.30
98.10
99.40
1873.
162
20
7,185
7,367
5,861
1,351
1
154
7,367
1.2
94.53
95.55
Surgical operations.
Surgical operations.
Capital, .. .. ..
Minor, .. .. ..
Total, ..
5
319
324
4
387
398
( 35 )
Receipts.
RECEIPTS.
European Subscriptions,
..
..
Native
Ditto,
..
..
..
Government Allowance, .. .. .. ..
Others Source, .. .. .. .. ..
Total, ..
1872.
1873.
Shown in the Statement
for Sadr Dispensary.
816 0 0
816 0 0
Shown in the Statement
for Sadr Dispensary.
816 0 0
816 0 0
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, ..
Cost of Dieting each In-door Patient, .. ..
935
24
9
10
5
6
912
1
0
5
0
0
Shown in the Statement
for Sadr Dispensary.
175
160
1,296
0
2
13
3
1
3
5
3
3
180
103
1,197
0
13
6
8
1
3
6
9
0½
SHAHABAD
BRANCH DISPENSARY
IN HARDUI.
" Remarks regarding the conduct and qualifications of the Hospital
Assistants:—
First class Hospital Assistant Dhun Pal has conducted his duties
to my entire satisfaction during the year.
"This Dispensary shows an average of 72.50 out-door, and
4.65 in-door patients daily. There were no in-door patients last year :
there has also been a large increase of out-door daily attendance this year.
Fever.
Operations.
" The cases of fever treated have not been nearly so numerous as last
year; 882 cases were treated out-door and 34 in-door, against 1,147 in
previous year. 4 capital, and 515 minor operations have been performed
during the year.
Remaining under treatment on the 1st of January,
..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. ..
Remaining,
..
..
..
..
Total, ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, ..
1872.
34
..
6,213
6,247
5,736
429
22
60
6,247
..
56.86
56.86
1873.
60
141
6,348
6,549
6,032
415
25
77
6,549
4.65
72.50
77.15
Surgical operations.
Surgical operations,
Capital, .. .. ..
Minor, .. .. ..
Total, ..
..
42
42
4
515
519
( 36 )
Receipts.
RECEIPTS.
European
Subscriptions,
..
..
Native
Ditto, .. .. ..
Government Allowance, .. .. ..
Other Sources, .. .. .. ..
Total, ..
1872.
1873.
Shown in the Statement
for Sadr Dispensary.
746 0 0
662 10 3
Shown in the Statement
for Sadr Dispensary.
746 0 0
662 10 3
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. .. ..
Europe Medicines ,
..
..
..
..
Bazar Medicines, .. .. .. ..
Contingencies,
..
..
..
..
Total, ..
Cost of Dieting each In-door Patient , .. ..
842 0 0
..
782
42
10
5
3
0
Shown in the Statement
for Sadr Dispensary
66
48
956
0
1
0
1
0
0
9
9
0
115
106
1,046
0
2
10
11
0
3
1
7
11
" Remarks regarding the conduct and qualifications of the Hospital
Assistant:—
First Class Hospital Assistant Ramsahoy has on the whole given
me satisfaction, and has gained the good will of the people about
Shahabad.
BILGRAM BRANCH
DISPENSARY
IN HARDUI.
Fever
" The Bilgram Dispensary treated 79.53 out-door and 4.08
in-door patients daily, showing a slight increase over last year, in
which 78.90 cases were treated out-door and 3.83 in-door. The in-door
patients commenced to be dieted again at the expense of the Institution
from the 23rd June. 1,348 cases of fever were treated out-door and 45
in-door ; in 1872, 1,628 cases were treated out-door and 51 in-door, show
ing a total decrease of 286 cases during the year under report.
Operations.
State of Dispensary Build
ings.
" 12 capital and 284 minor operations were performed during the year.
All the Dispensaries in the district are more or less out of repair, but
more especially those of Bilgram and Sandila. Rs. 220 have been sanc-
tioned for repairs to the former, which are being carried out; the latter I am
afraid will require a much larger outlay still, I have asked Mr. White, the
District Engineer, to see and kindly favor me with an estimate of the cost
for repairs, which will be forwarded to the Deputy Commissoner, as soon as
received, together with a bill for the amount required.
Report on Establishment.
" The Hospital Assistants and servants of all the Dispensaries have,
on the whole, given satisfaction in the discharge of their duties, except the
Compounder of Sandila, of whom the Hospital Assistant reports unfa-
vorably. He will be replaced by a better man. When I took charge I found
the Compounder of Shahabád, whom Dr. McReddie had dismissed for
gross misconduct, still working, and ordered him to be immediately re-
placed by another man.
( 37 )
Remaining
under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. .. ..
Remaining, .. .. .. ..
Total, ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, ..
1872.
72
248
7,274
7,594
6,970
515
18
91
7,594
3.83
78.90
82.73
1873.
91
251
7,093
7,435
6,975
366
10
84
7,435
4.08
79.53
83.61
Surgical operations.
Surgical operations. .. ..
Capital, .. .. ..
Minor, .. .. ..
Total, ..
1
233
234
12
284
296
Receipts.
RECEIPTS.
European
Subscriptions,
..
..
Native
Ditto,
..
..
..
Government Allowance, .. .. ..
Other Sources, .. .. ..
Total, ..
Shown in the Statement
for Sadr Dispensary.
396 0 0
396 0 0
Shown in the Sadr Dis-
pensary.
396 0 0
396 0 0
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, ..
Cost of Dieting each In-door Patient, .. ..
592
98
6
1
3
6
517
89
1
11
4
9
Shown in the Statement
for Sadr Dispensary.
112
156
959
0
2
7
2
1
9
9
3
3
115
116
869
0
15
14
10
1
0
6
7
3
" Remarks regarding the conduct and qualifications of the Hospital
Assistant:—
Third Class Hospital Assistant Noor Mahomed is a very good
man, and has always conducted his duties to my entire satisfaction.
RÁI BARELI SADR
DISPENSARY.
Superintendent, Surgeon Major C. Cameron. The following Report
is submitted by Assistant Surgeon Raj Coomar Condu who is most favour
ably reported of by his superiors :—
" The Dispensary building remains the same as in previous year, ex-
cept that a detached latrine of kacha masonry with thatched roof for
the use of male patients has been constructed in place of a temporary
shed used before. A new thatch has also been put over the veranda in
front of the male ward. The roof of the Dispensary leaked much during