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II.-RAM SINGH, Indian Police Constable, at. 28.
This patient was admitted to the Hospital on the 9th August with a history of four days diarrhoea; from his description the stools were evidently dysenteric, he stated that he had ten motions during that day. His temperature on admission at 4.30. p.m. was 103.8° F.
The Sulphate of Magnesia mixture was ordered and four hourly doses were given between 5 p.m. and 8 p.m. that evening.
10th August the following note occurs :-temperature at 6 a.m. 101° F., bowels have been open thrice during the night, the same mixture was given four times between 12 noon and 3 p.m. that day, at 8 p.m., his temperature was 101.4° and the bowels had been open five times since the morning.
11th August: 8 a.m. temperature 99° F., the faces this morning were still liquid but decidedly bilious and contained no blood; four more doses of the mixture were given this day, and at 4 p.m. this evening, the Chalk and Baël mixture was given and ordered to be continued every four hours, all this time the patient was taking nothing but congee and milk, temperature at 8 p.m. 100° F.
12th August temperature at 8 a.m. 98.6° F., bowels open five times during preceding night, as at mid-day the stools contained blood and mucus and there was considerable tenesmus the Sulphate of Magnesia mixture was ordered and continued in hourly doses until 4 p.m. in the evening, at 8 p.m. the following note occurs:-"bowels open six times since the morning, and on examination the fæces were found to contain mucus and were slightly tinged with blood, less tenesmus, temperature 99.8° F."
The Chalk and Baël mixture was substituted and ordered to be given every four hours. August 13th:-8 a.m. temperature 99.2° F., bowels open thrice during the night, the same treat- ment was continued and during that day the bowels were only open twice, in the evening the temper- ature was 99° F.
August 14th bowels only open twice during preceding night, were slightly formed, temperature at 6 a.m. 98.6° F., on this day he was placed on low diet.
August 15th temperature at 8 a.m. 97.8° F., bowels open once during the night, from this date he steadily improved, the Chalk and Baël mixture was given thrice daily, on the 17th instant he was placed on full diet and discharged cured on the 18th instant.
III.-W. O.,œt. 29, German. Officer on board Mercantile Steamship.
Admitted to the Hospital on 12th August with history of dysentery of two days standing; he stated that the previous day his bowels had been opened forty times.
He was at once placed on the Sulphate of Magnesia mixture and after that he had four hourly doses between 4.30 p.m. and 7.30 p.m. His temperature at 4.30 p.m. was 101° F. At 9
At 9 p.m. the following note occurs :- "bowels open six times since admission, fæces liquid contain mucus but only tinged with blood." The Sulphate of Magnesia mixture was discontinued and the Chalk and Baël mixture ordered to be given every four hours.
August 14th 8.30 a.m. temperature 99.2° F., bowels open four times during the night, fæces bilious. Diet since admission: Milk, Soda Water and Ice. At 8.15 p.m. temperature 98.8° F., bowels only open twice since the morning, same treatment continued.
August 15th temperature at 6.30 a.m. 98.8° F., bowels not open during the night, placed on low diet with cornflour in the evening.
August 16th as the bowels had not been open an ounce of Hunyadi Janos water was given and the medicine ordered to be given thrice daily. Evening (8 p.m.) temperature normal, bowels open From this date improvement was maintained; on the 16th he was placed on fish diet; on the 18th in full diet; and he was discharged cured on the 21st instant.
once.
IV.—T. H., æt. 15, English. Schoolboy.
Admitted at 9.45 a.m. on 17th December with a history of dysentery of three days standing, bowels having been open six times during preceding night, temperature 100.4° F.
He was placed on milk and congee, and ordered twenty grains of Pulv Ipecacuanha Ver, preceded by a draught containing ten minims of Tincture of Opium, at noon his temperature was 101° F., and in the evening as the bowels had been moved six times since the morning the Ipecacuanha was ordered to be repeated.
December 18th temperature 6.30 a.m. 100° F., and the following note occurs:-"patient was very sick after the powder, and the bowels have been moved nine times during the night.' At noon the Sulphate of Magnesia mixture was ordered and four doses were given between 12 noon and 3 p.m.; at 8.30 p.m. temperature 100.4° F., bowels moved six times since the morning the faces are now liquid but slightly tinged with blood and contain very little mucus.
December 19th temperature 8 a.m. 98° F., bowels open five times during the night, foeces are now distinctly bilious, still liquid, but contain no mucus or blood, a pill containing one-third of a grain of Opium and three grains of Quinine was ordered to be given thrice daily. At 8 p.m. temperature was normal, bowels open thrice during the day still liquid.
December 20th bowels open thrice to-day, temperature normal.