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Updated: June 9, 2025
XI. A scorbutic condition of the system appeared to favor the origin of foul ulcers, which frequently took on true hospital gangrene. Scurvy and gangrene frequently existed in the same individual.
Those afflicted with the gravel ought to avoid every thing astringent; and the scorbutic of every description, salted or smoked provisions. In the first period of life, the food should be light, but nourishing, and frequently taken. For infants in particular, it ought to be adapted to their age, and the strength of their digestive powers.
Yet even the troops that were rated as effective were in so bad a condition that the hyperbolical Sergeant Johnson calls them "half-starved, scorbutic skeletons." That worthy soldier, commonly a model of dutiful respect to those above him, this time so far forgets himself as to criticise his general for the "mad, enthusiastic zeal" by which he nearly lost the fruits of Wolfe's victory.
Bob Sawyer's heart-sickening attempts to rally under this last blow communicated a dispiriting influence to the company, the greater part of whom, with the view of raising their spirits, attached themselves with extra cordiality to the cold brandy and water, the first perceptible effects of which were displayed in a renewal of hostilities between the scorbutic youth and the gentleman in the sanguine shirt.
I began also, about this time, to raise a small quantity of mustard and cress in my cabin, in small shallow boxes filled with mould, and placed along the stovepipe; by these means, even in the severity of winter, we could generally ensure a crop at the end of the sixth or seventh day after sowing the seed, which, by keeping several boxes at work, would give to two or three scorbutic patients nearly an ounce of salad each daily, even though the necessary economy in our coals did not allow of the fire being kept in at night.
In such cases, vegetable diet with vegetable acids would remove the scorbutic condition without curing the hospital gangrene. . . Scurvy consists not only in an alteration in the constitution of the blood, which leads to passive hemorrhages from the bowels, and the effusion into the various tissues of a deeply-colored fibrinous exudation; but, as we have conclusively shown by postmortem examination, this state is attended with consistence of the muscles of the heart, and the mucous membrane of the alimentary canal, and of solid parts generally.
Again, if the patient has attained to eating meat, it is supposed that to give him meat is the only thing needful for his recovery; whereas scorbutic sores have been actually known to appear among sick persons living in the midst of plenty in England, which could be traced to no other source than this, viz.: that the nurse, depending on meat alone, had allowed the patient to be without vegetables for a considerable time, these latter being so badly cooked that he always left them untouched.
He was sent in consequence of the report made by the superintendent in regard to the extreme ill health of the prisoners from the scanty allowance of food. A scorbutic epidemic was already fast emptying the dungeons. Not aware of the cause of his visit, I imagined that he came to see Oroboni, and my anxiety was inexpressible; I was bowed down with sorrow, and I too wished to die.
During the patient’s recovery from one of the abdominal attacks above mentioned, the gums were observed to be spongy, separated from the teeth and reverted, bleeding, and in various parts presenting the livid appearance of scorbutic gums. At the same period arose pains of an anomalous description, and of considerable severity about the shoulders and thorax.
The dry or frozen fish, the sea dogs, the fat of whales, upon which the employees of the Company were forced to subsist in the least hospitable of climes, had ravaged them with scorbutic diseases until their numbers were so reduced by death and desertion that there was danger of depopulation and the consequent bankruptcy of the Company.
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