Project Gutenberg's The Seaman's Medical Instructor, by N. D. Falck This eBook is for the use of anyone anywhere in the United States and most other parts of the world at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org. If you are not located in the United States, you'll have to check the laws of the country where you are located before using this ebook. Title: The Seaman's Medical Instructor In a Course of Lectures on Accidents and Diseases Incident to Seamen Author: N. D. Falck Release Date: May 3, 2019 [EBook #59425] Language: English Character set encoding: UTF-8 *** START OF THIS PROJECT GUTENBERG EBOOK THE SEAMAN'S MEDICAL INSTRUCTOR *** Produced by The Online Distributed Proofreading Team at http://www.pgdp.net (This file was produced from images generously made available by The Internet Archive) The cover image was created by the transcriber and is placed in the public domain. I THE SEAMAN’S Medical Instructor, IN A COURSE OF LECTURES ON ACCIDENTS AND DISEASES INCIDENT TO SEAMEN, IN THE VARIOUS CLIMATES OF THE WORLD. CALCULATED FOR SHIPS THAT CARRY NO SURGEON. The Whole delivered in a plain Language, and founded on a long and successful Experience. By N. D. FALCK, M. D. LONDON: PRINTED FOR EDWARD AND CHARLES DILLY. M,DCC,LXXIV. THE PREFACE. If we consider the many benefits that navigation contributes to commerce in general, and how much the prosperity of nations are indebted to its source, we must without hesitation declare seamen, a most respectable part of mankind; and if we reflect a moment, on the many hazards and perils they are exposed to on that precarious element, and the advantages we reap from their toil, the common feelings of human society, must awake and remind us, not only how much we are obliged as social members, even from a motive of self interest, to study their preservation, but as fellow creatures, how forcibly our duty calls us to give them every aid in our power, and to lighten the burthen of their many toils. A ship at sea may be considered as a floating kingdom; and the subjects, however few in number, are not only liable to the same accidents as those on shore, but to many more, peculiar to that precarious and fluctuating element that surrounds them. For this reason there are many things requisite to be known by the mariners besides the art of conducting a ship from port to port. Of all the various knowledges that distinguish the human species from the brute creation, what is of more value than that which tends to the preservation of life and health? I believe that every man who is actuated by motives of philanthropy will with me wish, that mankind in general would advert more to it in the principles of education, than what they at present do. Indeed it is astonishing that so valuable an acquisition, as to have some knowledge of the body we possess, and its preservation, should be so totally neglected, as to be entirely excluded from education; an acquisition that not only enlivens the mind, but in itself is so very essential to our existence; yet what is more to be wondered at, is, that a seaman who launches into the main ocean, is cut off from every assistance, in case of an accident or sickness, and rendered wholly unable to give the least aid to himself, or those who are entrusted to his care. Large ships I own are exempt from this observation: but are not the lives of men on board of small ships equally as valuable, and worth preserving, as those of greater burthen? I am not the first who has had the welfare of seamen at heart; various writers, and men of abilities too, have presented the world with observations, that undoubtedly have proved beneficial to that class of men; but then these books were neither intended, nor fit to be put into the hands of such seamen, as actually stand most in need of those very observations they have made, and only intended for the perusal of men of physical talents; nevertheless they merit for their labour public thanks, as useful members of society. But if we take an impartial view of the number of seamen, I believe the greatest part are employed in small ships, that either carry no surgeon, or (I am sorry to say it) sometimes one they had better be without; especially in war time, when they stand most in need of a good one. To benefit these men, and at the same time to make that benefit universal, is the plan I have aimed at; and I believe this is the first attempt of the kind; at least I know of none whose steps I have followed in this design. Should I ask physical writers why they have neglected so valuable a part of society as seamen, in giving them their friendly instructions respecting their health, I doubt not, but the majority would reply, that the education of masters of ships and seamen in general, has not enabled them to understand a subject so much above their comprehension, or sphere. But if seamen have not the advantage of an extensive education, are they divested therefore of common sense and understanding? and is it not possible to deliver them instructions, dressed in so plain a language as to adapt it to their capacity? Nevertheless, though men of abilities have not thought seamen worth their pen, others have; but such whose pursuit in life has been stimulated by motives of a different cast. Those have furnished seamen not only with directions to cure all diseases, but even given them medicines to do it with, into the bargain; or to speak more seriously, given them directions how to use such medicines as would yield the most profit to the apothecary, who with pretended wisdom equipt them out: and I am apt to think, that kind of quackery has stolen away the lives of many valuable seamen. It is universally asserted that seamen are not fond of reading; this in a great measure is true, but far from being a general rule; and though blind prejudice has given them an aversion to every thing physical, yet I will venture to say so much in their behalf, that hitherto nothing has been offered to them that could alter their opinion in this respect, or open their eyes, in shewing them the beauties of that useful study, and in how small a compass its true principles might be contained. Physic like religion is rendered intricate and abstruse, the more it abounds in errors and absurdities; but truth like the brilliant sun, drives away all the phantoms of perplext mysteries, and proves that both alike are simple and beautiful, founded on reason, and that its most useful part is comprehensive to common understanding. This pleads in favour of my attempt, and with every man of sense, must overpower prejudice. That I might the better succeed in my intention, I have begun the whole at the first principles, namely the mechanism of the human body; for I cannot see how any man can pretend to know the nature of diseases, or presume to administer any thing with certainty, without he has some knowledge of the parts that suffer: this then is the subject of my i ii iii iv v vi vii first lecture; and to make it the more pleasing, and to entice the reader to pursue, I have stript it of every thing pedantic, or the unnecessary perplexing particulars, and confined myself to such things only, as gives a concise and true idea of the whole animal system; and if I may be allowed to judge from the opinion of some of my learned friends, I flatter myself, that my readers, physical or not, will give me their sanction, as well with respect to plainness of language, as conciseness of the subject, and the utility of such a short dissertation, founded on experience, and stript of prejudice and errors. The second lecture contains equally as copious a subject as the first; contracted in a very small compass, and which I hope will give as much satisfaction as the forementioned. Out of the whole Materia Medica, I have chosen but very few medicines, and these I have confined myself to throughout the whole book. Many surgeons at sea will not, I know, be contented with so small an assortment; and I remember the time that such an observation might have been applicable to myself; but as I have by long experience learned to shake off prejudices, and been taught by the help of philosophy to pry into the nature of things in general, I solemnly declare, that now, I would venture to go to any part of the globe, not only with that little assortment of medicines I have mentioned, but even with many less. The emetick tartar, sublimate mercury and the bark are powerful medicines; but they should be in very skillful hands, otherwise they are rank poisons, and therefore I have omitted them here; but strictly speaking, every good medicine is the same. I have two maxims in physic, which I strictly attend to; one is, that to my friends I give the least medicines; the other is, that the principal virtue of a medicine depends on its application. The form of the medicine box, I have constructed so as it appears to me most convenient and handy; and every kind of medicine, I would advise to have labeled with their proper names, as well as with another mark that may take the eye at first sight; and the more to prevent mistake, one label should be fixt on the pot that contains the medicine, and the other on the box: for in medicines too much caution cannot be used. One thing with respect to the medicines, I have omitted, and that is their quantity requisite for the box, and their prices: I intended to have taken notice of this, but found that that could not with exactness be ascertained, unless entering into another subject, and that would take off from the conciseness of my plan. As I have however many other things respecting the benefit of seamen to offer, peculiarly respecting distant climates, I shall take notice of this, where it may come in, more pertinently to the subject: till then, that must be left to the management of the apothecary who is applied to for fitting out the box. If he is a man of candour and judgment he cannot be much out of his calculation, when he knows the number of hands, and the voyage intended. With respect to the other lectures, I have, as near as it was practicable, divided them into their different classes and sections; at the same time the whole is so linked together, that one lecture must support the other. And as I have throughout the whole course of the book differed more or less from the general mode of practice, I must hereby declare, that I have in this consulted my own experience more than any other authority, without fear of censure, or hope of applause, any farther than of truth, and my own conscience. Though I have principally written with an intent to be understood by masters of ships who carry no surgeon; yet I am well persuaded that every practitioner, whether on sea or shore, will find many things to his improvement. With respect to my receipts, they are simple and powerful; yet I do not enjoin so strict a conformity to them, by the practitioner, who has an extensive knowledge of the materia medica, and is prepossessed in favour of some particular medicines; but as he will discover my indications, it may serve greatly to compare that of mine with his own, and then he may judge for himself. I have touched very slightly on the requisite diet for patients on board a ship; though this is an essential article regarding health in general: But I found that subject also of so very extensive a kind, that it would swell the book; but as I have many valuable things to offer of the same nature, I must beg, that in the mean time, the reader will be satisfied with the universal observations in general; namely, that temperance is the principal object and that patients who are deprived of exercise ought to have the most easy digesting food. Copper and lead are pernicious; but iron and earthen ware are safest either on sea or shore. In order to render the book as useful as my zeal has intended, I recommend it a fair perusal, from the first page to the last; a book of this nature is apt to be looked into, only when advice is wanted: that method is wrong; and in such a case, the best book in the world is apt to mislead. It is not enough that we know what we are to do with such and such disorders, but we should previously know what the disorder is; and how shall we know that, without having some idea of the evil before it comes on? A book of this size is soon perused; taking a lecture or a section at a leisure time on board, will soon send the reader through the whole; and I flatter myself, that one perusal will lead to the second, when then it may be referred to for advice with safety; and I hope a study so essential to self-preservation, will be viewed in a more agreeable light, than it has hitherto been. To compleat the whole, a copper-plate is annexed, wherein the most material utensils are exhibited, which was scarce capable to be explained by bare description, to men unacquainted with surgery. To conclude, I must beg leave to observe, that the respect and esteem, with which I have been constantly honoured by every worthy seaman, whose life and health were committed to my care, have I confess, stimulated my endeavours, to offer them this book as a grateful return. And I am happy to reflect, that my experience in life enables me to make it worth their acceptance. May they reap that benefit from it, which my heart has intended them; and this is all the reward I wish to obtain. viii ix x xi xii xiii N. D. FALCK. ERRATA.[1] Page 5. line 22. for cataplexy, read apoplexy. Page 6. line 16. read, that a pressure on that part, not only occasions an apoplexy, but even stops life itself. Page 26. line 17. for theirs, read thus. Page 35. for Sect. vii. read viii. and following ix. x. Page 61. line 4. for five or six, read about four or five. Line 21. for iniform, read inform. Page 91. line 18. read, in order to get into. Page 131. line 29. for purify, read putrefy. Page 135. line 12. delete them. Page 142. line 2. from the bottom, read, and is a sufficient. Page 158. line 6. for malignitus, read malignities. Page 239. line 7. read, the patient when not able to crawl to the tub, so revived &c. 1. These errors have been corrected for this ebook (May, 2019). To the BINDER. The Copper-Plate and its Explanation are to be placed at the End of the Book. xiv THE CONTENTS. xv LECTURE I. An anatomical and physiological description of the human body Sect. I. Of the composition and close connection of parts in the human body 2 Sect. II. Of the brains and nerves 5 Sect. III. Of the heart and lungs 9 Sect. IV. Of the circulation of the blood 12 Sect. V. Of the joint connection of the brains, heart, lungs, &c. 15 Sect. VI. Of chylifaction, and nutrition 19 Sect. VII. Of the bones, muscles, ligaments, tendons and their connection. 28 A skeleton of the human body 31 Sect. VIII. Of the urinary organs and genital parts 35 Sect. IX. Of the skin 40 Sect. X. Of the external senses 43 xvi LECTURE II. On the requisite means and medicines towards restoring health. Sect. I. Of the pulse 50 Sect. II. Of the effects of bleeding 55 Sect. III. Of the operation of bleeding 58 Sect. IV. Of the requisite medicines useful at sea 63 A plan of a medicine box—64. Of utensils, and medicines—65. Lancets, ibid. scissars, probe, spatula—66. Bistouries, and incision lancets, teeth instruments, syringes—67. Clyster pipes and bladders, clyster syringe, scales and weights—68. Splints—69. Bandages, rags, tow, lint, tape, needles, thread and pins—70. Camomile flowers, balm, sage, sassafrass—71. Oatmeal, cinamon, allum, chalk—72. Salts, diachylon plaister—73. Mercurial plaister, blistering plaister—74. Spirits of wine and camphire—75. Liniment of soap, sweet oil, sweet spirit of nitre—76. Honey, yellow basilicon; elixir of vitriol—77. Elixir proprietatis, lenitive electuary—78. Turner’s Cerate, fever powders, stomachic powder—79. Calomel—80. Precipitate—81. Mercurial ointment—82. Rhubarb, jalap, ipecacuanha, liquid laudanum—83. Essential oil of peppermint, Turlington’s balsam 84 xvii LECTURE III. On accidents, and their proper method of treatment Sect. I. Of falls 89 Sect. II. Of wounds—91. Cut wounds 92 bruised wounds—94. Gun-shot wounds 96 Sect. III. Of bruises 98 Sect. IV. Of dislocations 99 Dislocation of the arm with the shoulder 101 Dislocation of the elbow or the knee 103 Of spraining the wrist, or ancle 103 Dislocation of the thigh bone 104 Sect. V. Of fractures 107 A fracture of the skull 108 Fracture of the arm 109 A fracture of the thigh bone 110 A fractured leg 111 Compound fractures 114 Conclusive observations on fractures 115 Sect. VI. Of scalding 118 Sect. VII. Of burning 119 Sect. VIII. Of drowning 120 The method to recover a drowned person 123 xviii LECTURE IV. On external diseases, and their cure Sect. I. Of inflammation 130 Of resolution 132 Of suppuration 133 Of tumours 134 Of mortification ibid. Sect. II. Of ulcerations 137 Sect. III. Of the diseases of the skin 142 Of the itch ibid. Of boils 144 Of ring-worms, daw-worms, &c. &c. 145 Of the lousy disease ibid. Sect. IV. Of promiscuous disorders 148 Of the tooth-ach 149 To draw a tooth ibid. Of sore eyes 152 Of the ear-ach 153 Of hoarseness and sore throat 154 Sect. V. Of the venereal disease 156 Of the gonorrhœa 157 Of the phimosis and paraphimosis 158 Of the chordee, and priapism 159 Of the dysuria ibid. Of shankers 160 Of the bubo 161 Of swelled testicles 162 Of venereal excrescences 163 Of the second infection 164 Sect. VI. Of the bite of venomous animals 166 To cure the bite of a rattle snake 167 Sect. VII. Of the bite of a mad dog 170 The signs of a mad dog 171 The effect of a bite of a mad dog 172 Of the cure of the bite of a mad dog 173 xix