Weekly standard. [volume] (Raleigh, N.C.) 1858-1865, 1863-07-22
, EXECUTIVE DEPARTMENT NORTH. CARoLNA,)
A9utant Generals Office. (Ailitia,)}
=. Raleigh, July 10th, 1868. }

Raleigh, July 10th, 1868.
GENERAL ORDER,
L The following instructions, prepared BY the
Surgeon General Of the State, are published for the
guidance of the Militia Surgeons:
II. In their examination of all applicants, they
must exercise sound discretion, remembering the
necessities Of their country, and excusing no man
through fear, favor or affection.
I'LL They should remember, that, as general
rule those who.are capable Of dischargng the active
duties incident to the various occupations of life are
able to perform the duties of soldiers in the field
w. In every instance they should make thor
ough examination of the applicant, seeking for all
the physical and rational Indications of the alleged
disability, testing the accuracy Of the patients
statements by their own observations and the esti
mony of reliable physicians, examining into the
previous history Of the case and guarding against
deceit and imposition as far as practicable.
V. The following are some Of the grounds not
though there are many others which must be left to
the judgment of those conducting the examination:
DeGfness.-This is no valid reason for exemption,
unless excessive or complete The fact of its exis.
tence must also be established by the oath Of some
respectable physician, who has had an opportunity
Of determining the matter for himself.
Myopsa.-This is not q ground for exemption
under ordinary circumstances. In extraordinary
cases the applicant nay be excused at the discretion
of the Surgeon.
Defect Of ono eye-Neither opacity of the cor
nea nor even the entire loss of one eye-unless the
other is seriously implcated-is proper ground
for exemption.
Idiocy.-f the applicant is unable to establish
the fact Of hs inability to discharge the ordinary
duties of life, he should not be excused on this &C
count.
Diseases Of the Heart-Functional diseases of
the Heart are not valid grounds for exemption
Organic diseases must be accurately understood and
diagnosed before they can be regarded disqualify
ing causes.
Aneurisms-If small vessels only are involved,
| the applicant should not be excused
Varicocek.-This is not proper ground fol
exemption, unless excessive.
Varicose Veins Of the Ertremities.-This affec
ton is not legitimate ground for exemption as .
general rule. In extreme cases the applicant ma,
beexcused.
Rheumatism Muscular rheumatism is not
| proper ground for exemption. Articulaf rheuma
tism cannot be regarded as valid excuse, unless
some serious deformty or loss Of motion has result
ed from it. provided the general health of the ap
| plicant be not seriously impaired.
HemOTrhoids -These do not constitute prope,
ground for exemption unless the case is extreme
| one.
Hernia. Single reducible hernia is not valii
cause for exemption.
Deformitu.-Unless the functions of tho uneuabe,
are materially interfered with, deformity is not
proper ground upon which to grant the certificate
| If one leg be SO shortened or otherwise deformed
that the habitual of crutch stick is
STATED if a member is wasted, paralyzed, anchy
losei &C.; or if more than too fingers have been lost
from either hand the applicant should be excused
The loss of an entire thumb is q serious circum
stance.
! General Debility.-It must be remembered in
this eonnexion that so-called high standard o.
health does not enable the soldier to encounter the
exposure, fatigue and hardship incident to his call
ing. There seems to be associated with inferior
grades of health less predisposition to diseases
especially of an infammatory character. These
facts should serve as guides to the Surgeon in
determining how far, what is known as general de-
6ility, should excuse man from military duty. Il
there be no serious organic disease associated with
it. and but little loss of strength, &c. the applicant
should not be excused The best test of his ability
to withstand the trials of soldiers life, is to b
| found in the mode, &C., wherein his usual occupa
| ton is performed.
VII A definite statement should always be made
as to the locality extent and nature of the alleged
malady, the length of time it has existed, and thu
probable period If its duration.
VII. In all maladies pertaining to the Heart ant
Lungs, the most accurate physical explorations
should be resorted to- for the purpose of ascertain
ing definitely the precise locality and the exac
which it has progressed.
l By order of Governor VANCE:
| DAN'L G. FOWLE,
! Adiutant Gpners1