In another letter:—
“We make a pill of equal parts of resin of jalap, calomel, rhubarb, and quinine; say for a powerful man eight grains of resin of jalap, eight grains of calomel, four or six grains of rhubarb, and four or six grains of quinine; make the whole into pills with tincture of cardamoms. This relieves the very worst cases in a few hours.
“We then give quinine till the system is affected with cinchonism, the calomel is removed at once from the system, and, curiously enough, decreasing doses serve. In some of us half a grain of the mass produces as much effect as twenty-four grains did at first.”
A friend in Capetown, who had travelled in the Brazils, gave us the following receipt, used, we believe, by an Italian doctor; there he tells us it was efficacious, but we have not had opportunity to put it to the test:—
“To one bottle of water add 36grs. of sulphate of quinine, 2 teaspoonfuls of Epsom salts, 34 drops of sulphuric acid, and 40 drops of ether; this mixture is called antiperiodic water; a wine-glassful three times a day as soon as the first symptoms are perceived, and continued for three or four days after recovery. If delirious, an injection of 1 tablespoonful of vinegar to 10 of this water.”
Warburg’s fever drops are well spoken of. Very large doses of quinine are given in India and Africa, sixteen or twenty grains at a time; and we have frequently taken in powder as much as would lie upon a shilling.
Sometimes violent exertion, producing perspiration and exhaustion, if practised in time, may avert an attack. We have heard of a doctor visiting a man when the shivering fit was about to come on, who locked the door, mixed two glasses of stiff hot grog, put on the gloves, and engaged his patient in a boxing match, which, at least, for that time averted the fever.
We do not give our unqualified recommendation of this treatment; but we have often found that, during a period of severe and long sustained labour, we have remained in health, but that an attack of fever has accompanied the reaction induced by an intermission of the work.
Simple aperients should be taken; we have used Cockle’s anti-bilious pills, salts, senna, or jalap; and their opposites in case of diarrhœa. With a little opium and a bit of carpenter’s chalk, we have been able to give almost marvellous relief to a poor coloured woman in excruciating agony.
Take a good supply of Chlorodyne. Opium both in gum and tincture. A few drops of the latter, placed within the eyelids of those suffering from snow blindness, often prove of the greatest advantage; chloroform must be used with caution; still, in cases of great suffering, it is worth while to try it. We have known one exceedingly severe case of illness in which messengers had to be sent to every white man within 240 miles for medicines, and letters were written on the chance that some passing vessel might take them to a port whence by some other agency a supply of drugs might be forwarded.