Medical notes on the climate of Burmah and on the diseases which have there prevailed among European troops / by Charles Murchison.

  • Murchison, Charles, 1830-1879.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Medical notes on the climate of Burmah and on the diseases which have there prevailed among European troops / by Charles Murchison. Source: Wellcome Collection.

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    and headache. The following observations, however, may not be without interest, as bearing upon the hour of the com¬ mencement of the paroxysm, the frequency of certain symp¬ toms and complications, &c., and the best mode of adminis¬ tering the quinine. In the first place, I shall speak in reference to the quoti¬ dian intermittents. Of 115 cases of quotidian intermittents which came more immediately under my own care, I took careful notes, and from these notes have constructed a table, ^ of which these are the results, as bearing upon the following points:— 1. The hour of commencement of the paroxysm. In 1 case the paroxysm commenced at 4 A.M. 1 . . 5 ... 2 . . 6 4 . 6^ ... 4 ... ... . 7 ... 9 ... . 8 3 ... ... . 8^ ... 15 ... . 9 ... 23 .. . 10 ... 19 . . 11 ... 5 . . noon. 8 . . 1 P.M. 9 . . 2 ... 6 3 ... 1 . 4 ... 1 . 5 1 ... ... ... ••• 6 ... 1 ... ... midnight. 2 hour of commencement not determined. The hours noted, are those at which the paroxysms com¬ menced before admission into hospital, or before treatment. After the commencement of treatment, the paroxysms, if not at once checked, became gradually later in their hour of accession. It will thus be seen, that in 86 out of 113 cases, or in 76 per cent., the paroxysms commenced between midnight and noon (inclusive of the latter), and in 27 cases, or 24 per cent., be¬ tween noon and midnight. The most frequent hours of com¬ mencement were 9, 10, and 11 A.M.; in 74 cases, or 65-5 per cent., the paroxysms commenced between 8 A.M. and noon inclusive. After these, the most frequent hours were 1, 2, or 3 P.M., 23 cases, or 20*3 per cent., occurring at one or other of these hours. These were undoubted cases of quo¬ tidian, notwithstanding Dr Shapter’s doubts if the parox¬ ysms of true quotidian ever commence after noon.^ Of 1 Owing to its great length, the table has not been published.