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Observations on the Diseases of Seamen

Part 1 — CHAP. II.

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Of Aliment.

SECT. I. Of Solid Food.

The most unnatural circumstance in a sea life is the food which men use, and the disease most peculiar to it is one which is owing chiefly to the nature of the aliment; for though other causes conspire in aggravating the scurvy, the depraved state of the INGESTA is the main and fundamental cause of it.

It is this disease that is most fatal to seamen next to fevers. It was formerly as fatal, if not more so; but some modern improvements have rendered it less frequent and violent. The habitual use of salt provisions, besides producing evident symptoms of scurvy, begets such a state of the constitution, that, upon the least scratch being received, particularly on the lower extremities, a large and incurable ulcer ensues; and this circumstance, trifling as it appears, is the cause of losing an incredible number of men to the service, especially in the West Indies. The greater part of the food of a ship’s company is necessarily salted meat. Biscuit and pease, though of a vegetable nature, are hard of digestion; and though they qualify the animal food, they do not answer the purpose of fresh vegetables. Though officers have a supply of live stock even for the longest voyages, it would be impracticable to carry a quantity sufficient to preserve a whole crew from the scurvy. But certain articles have of late been introduced into use, of a durable and portable nature, which so qualify the salt provisions, that they can be used without inducing this disease. These are either such as are articles of common diet, viz. melasses and sour krout, or those which are intended only for the sick and recovering, such as portable soup and the preserved juice of lemons and oranges.

It is one of the most ancient and real grievances in the service, that there has not been a sufficiently ample supply of nourishment and cordials for the weak and recovering. This complaint is made by 66Dr. Cockburn, who was physician to the fleet in the end of the last century; and it is a complaint that has not yet been entirely redressed, nor has the subject been considered with the attention it deserves. The only improvement in the sea victualling that I know of from that time till of late, has been the use of raisins for puddings, and the occasional use of vinegar, which is an article extremely salutary, and was looked upon as the great preservative of health in the Roman armies.

After the force of disease has been subdued at sea, men are frequently lost by relapses, or pine away in dropsies and other chronic complaints, for want of being supported by some cordial and nourishing diet. It is mentioned in my memorial to the Admiralty, how insufficient the small quantity of surgeon’s necessaries are; and it is recommended that a large quantity of certain species of refreshment should be put in the purser’s charge, which, being substituted for the common sea victualling while men are ill or recovering, would cost Government little or nothing. Besides the articles already mentioned, it was recommended to set apart a quantity of the best wines, and to be provided with brown sugar, dried fruits, barley, rice, sago, and salep. To these might be added eggs, which, if greased and put in salt, may be preserved fresh for a great length of time. Carrots and other roots might also be preserved for the longest voyages by means of sugar; and green vegetables might in like manner be preserved by means of salt. But of all the articles, either of medicine or diet, for the cure of the scurvy, lemons and oranges67 are of much the greatest efficacy. They are real specifics in that disease, if any thing deserves that name. This was first ascertained and set in a clear light by Dr. Lind. Upon what principle their superior efficacy depends, and in what manner they produce their effect, I am at a loss to determine, never having been able to satisfy my mind with any theory concerning the nature and cure of this disease, nor hardly indeed of any other. An ingenious treatise has been published on this subject by Dr. Milman, to which I refer the reader, meaning to confine myself in this work chiefly to what is practical.

Every person who has beheld with attention and feeling the tedious and languishing series of suffering which the sick and recovering endure for want of the means of supporting and recruiting their strength and spirits, must wish that those who preside in the civil department of the navy would seriously consider this subject, and complete the reform that has already been begun.

With regard to the victualling of men in health, a most commendable attention has been paid to the improvement of it. The ordinary articles of victualling have not only been of excellent quality, but some new articles have been added, from which the greatest benefit has been derived. The chief of these are sour krout and melasses. The latter was first brought into use by Captain Ferguson in the beginning of the late war. He ordered it to be served with rice to the men who were affected, or threatened with the scurvy, in the ship under his command. The benefit experienced from it in this and other instances was so great, that during the last two years of the war it was made a regular article of sea victualling, and substituted in place of a certain proportion of oatmeal68.

As bread is one of the principal articles of diet, the utmost care should be taken in preserving it, and great advantage would arise from stowing it in casks that are water tight, instead of keeping it in bags, or letting it lie loose in the bread room. Captain Cook, by this method, and by giving it a cast in the oven in the course of the voyage, preserved his biscuit found in every respect for more than three years. But the greatest improvement in this article of diet would be to have, in the form of flour, a greater proportion of what is now allowed in bread. The flour might be made into puddings, and seems, in this form, to be more nutritious and antiscorbutic than biscuit which has undergone a strong force of fire. This sort of mess would be still more proper and agreeable now that melasses is a stated article of diet. Flour, by being well pressed and rammed, will keep as long as biscuit, and it can be stowed in one fifth part of the space; it will, therefore, cost much less in freight than the same quantity of it in that form, and it may be baked abroad if necessary69. Malt, by being well rammed, may also be preserved for a great length of time.

Of all the former articles of sea victualling, there was none more abused than oatmeal. The quantity allowed to each man was twice as much as he could consume, and the overplus went to the purser’s profits, or was wasted by being given to the hogs, or even wantonly thrown overboard. Melasses have, with great advantage, been substituted for part of it, in the proportion of eleven pounds for two gallons of oatmeal. The first trial of melasses was in the70 Foudroyant, and it answered so well, that, in a cruise under Admiral Geary in 1780, this was the only ship free from the scurvy, and out of two thousand four hundred men that were landed at the hospital with this disease, there were none from this ship. It appears to be so similar in its nature and effects to essence of malt, that it seems hardly worth while for Government to be at the expence of providing the latter.

A certain proportion of barley has also of late been substituted for part of the oatmeal, which being more light and palatable, makes a pleasing variety, particularly to the sick and recovering. Captain Cook carried wheat with him, and found it to answer equally well. Might not potatoes also be a proper and salutary substitute, as they will keep a considerable length of time in a warm climate, and they have been successfully employed in their raw state for the cure of scurvy? It would not be right, however, to abolish oatmeal entirely; for there is a certain preparation of it which is an antiscorbutic of equal efficacy with any whatever, except the juice of lemons and oranges. This is flummery, or sowins, which is prepared by letting oatmeal and water stand together till they grow acidulous, and then boiling them into a jelly. I know of some well-attested instances of the crews of ships being saved from the scurvy by this alone.

Butter is a good article of victualling in so far as it renders that part of the diet which consists of grain and vegetables more palatable, and thereby induces men to eat more. But as it is extremely corruptible in a warm climate, hardly any being used by the seamen but what is more or less rancid, it should never be sent to a tropical station. Greater quantities of it are condemned than of any other article of victualling, and it is therefore the most expensive to Government. There are certain articles that are the natural produce of the West-India islands, which may be substituted for it with the greatest advantage. These are sugar and cocoa71, which, during the last year of the war, were served in place of butter with great success, and this proved an alteration in diet not only salutary, but agreeable to the seamen, whose inclinations are always to be consulted in such changes72.

When a ship is in port, encouragement should be given to the sale of roots, greens, fruits, and sugar. The men have a good custom of exchanging part of their bread, beef, and pork, for what they can get from the shore; but as they in general prefer spirituous liquors to the above-mentioned articles, the greatest care and vigilance should be used to preclude men from such opportunities of injuring themselves73. Every ship should be furnished with a seine, and other implements for fishing, when in harbour.

When captures are made, in which there are such articles as sugar, wine, rice, or fruits, it would be much better in many cases to allow the immediate use of them at sea, where the men may be disposed to scurvy or other diseases, than to wait for the conversion of them into money.

Though it has been my object to introduce as many articles of diet as possible, independent of salt provisions, it does not follow that these are in themselves unwholesome. They are pernicious by being made almost the sole and exclusive article; but if used in moderate quantity, they are even in some respects well adapted for the food of seamen. The nature of their life gives them a strong digestion: in their duties they not only employ violent exercise, but use more muscles and a greater variety of postures and motions than men of any other profession. To such constitutions may not food of a refractory nature and hard of digestion have even an advantage over what is more delicate and digestible?

It does not appear that it is the salt quality of the provisions used at sea that makes them productive of scurvy, but the want of their native juices and of the nutritious principle. A small quantity of salt is necessary to make all food palatable and wholesome, in so much that it is reckoned one of the necessaries of life. All animals have a craving for sea salt, and nature has kindly made it the most abundant and universal of all saline bodies. Food, without this seasoning, not only comes to be loathed, but the want of it renders the animal weak and flabby. As it not only assists digestion, but invigorates all the bodily functions by stimulating and bracing the fibres, it is in some cases a valuable medicine. It is remarkable that men are very apt to tire of a long continuance of fresh provisions74, but never of what is salt; and even under the scurvy the latter will be relished, and sometimes preferred to most other kinds of food. It has been a practice with some to make the scorbutic men drink sea water; but though it is not attended with any manifest benefit, I never heard that it aggravated the disease.

I was told by the gentlemen of the army at New York in 1780, that the soldiers in cantonments were not near so subject to agues as the people of the country; and the only difference in their mode of life was, that the former had in their allowance a certain, proportion of salt provisions.

In an unhealthy country I should think a free use of salt, as well as spice75, would be salutary; and when ships are in port it would perhaps be better to allow a certain proportion of salt provisions, because it would not only be wholesome and agreeable, but the men’s constitutions would probably be more reconciled to an entire salt diet when necessary: but I would except from this the crews of such ships as have newly arrived from a long cruise or voyage, in which it may be necessary to alter the constitution as quickly as possible by a diet entirely fresh.

Nothing that I have collected from my own observation, or that of others, has been neglected under this head, except one particular caution with regard to the preparation of the victuals. The large utensils employed to boil the provisions are made of copper, and it sometimes happens from neglect that these are allowed to contract a rust, which is one of the most active poisons we know. The neglect consists chiefly in allowing any thing acid, or what is liable to become acid, such as gruel or burgoo, to remain for a length of time without being washed out; for when victuals have been prepared in the boilers thus uncleaned, they produce the most violent effects, even to the loss of life, as once happened in a ship belonging to our fleet76.

SECT. II. Of Drink.

As the solid part of sea diet is very dry and hard, and as the salt it contains is apt to excite thirst, a freer use of liquids than at land is necessary, particularly in a hot climate.

It has been the custom, as far back as we know, to allow seamen the use of some sort of fermented liquor. We need hardly inquire if this is salutary or not; for it would be impossible at any rate to withhold it, since it is an article of luxury, and a gratification which the men would claim as their right. There is a great propensity in seamen to intoxicating liquors, which is probably owing to the hardships they undergo, and to the variety and irregularity of a sea life. But there is reason to think that all sorts of fermented liquors, except distilled spirits, are conducive to health at sea.

There is no doubt that malt liquor is extremely wholesome and antiscorbutic. The common quantity of small beer allowed daily is so liberal, that few men make use of their whole allowance; and there is no objection to the constant use of it, except that it is apt to spoil in the course of a few weeks, and that upon foreign stations the stock can seldom be renewed. One of the greatest improvements that could be made in the victualling of the navy would be the introduction of porter77, which can be preserved in any climate for any length of time that may be necessary.

Spruce beer seems to possess similar and equal virtues with malt liquor and it has this advantage, that the materials of it can at all times be carried about and used occasionally. It agrees with malt liquor in being a fermented vegetable sweet, the principal ingredient of it being melasses. The other ingredient, from which it takes its name, being a balsamic substance, seems to be more medicinal and antiscorbutic than hops, and is therefore, perhaps, preferable to malt liquor. There have been sufficient proofs of its virtues in single ships; and all the men of war that go to America and the West Indies might be conveniently supplied with it. Admiral Pigot provided a sufficient quantity for the whole fleet; but the peace coming on prevented the trial of it.

The most salutary kind of drink next to malt liquor, and spruce beer, is wine. The benefit which the fleet derived from it at different times, and the advantage it has over spirits has been often taken notice of in the former part of this work. It seems to be owing to this that the French fleet sometimes enjoys superior health to ours, and is less subject to the scurvy78. Wine is also preferable to every other medicine in that low fever with which ships are so much infested; and there is no cordial equal to good wine in recruiting men who are recovering.

Spirits differ from wine in this respect, that they are a mere chemical liquor, incapable of assimilation with our fluids, having lost in distillation the native vegetable principle in which the whole of its nutritious quality and great part of its medical virtue resides.

The abuse of spirituous liquors is extremely pernicious every where, both as an interruption to duty, and as it is injurious to health. It is particularly so in the West Indies, both because the rum is of a bad and unwholesome quality, and because this species of debauchery is more hurtful in a hot than in a cold climate.

It is with reason that the new rum is accused of being more unwholesome than what is old; for, being long kept, it not only becomes weaker and more mellow by part of the spirit exhaling, but time is allowed for the evaporation of a certain nauseous empyreumatic principle which comes over in the distillation, and which is very offensive to the stomach; therefore, though this is the produce of the West-India islands, yet what is supplied there is inferior to that which is brought from England.

It was originally the custom to serve seamen with their allowance of spirits undiluted. The method now in use, of adding water to it, was first introduced by Admiral Vernon in the year 1740, and got the name of grog. This was a great improvement; for the quantity of half a pint, which is the daily legal allowance to each man, will intoxicate most people to a considerable degree, if taken at once in a pure state.

The superiority of wine over spirits in any shape was so conspicuous, that towards the end of the war the fleets in the West Indies and North America were supplied with nothing but wine, and with a success sufficient to encourage the continuance of the same practice in future.

Of Water.

As water is a necessary of life, and as the health and comfort of men at sea depend upon its quality, it deserves particular attention.

Spring water is to be preferred to running or stagnated water; for, unless it is taken at the source, or near it, it is apt to be impregnated with decayed vegetable and animal substances, such as leaves, grass, wood, and dead insects. This inconvenience is greatest in a hot climate, where every thing teems with life, and where the materials of putrefaction are both more abundant and more prone to corruption. This is the most pernicious kind of impurity; for the mineral impregnations common in springs are seldom, in any degree, unwholesome, and do not tend, like the other, to make the water corrupt. At many of the West-India watering places the water is found stagnated just above high-water mark; and care should be taken to go higher up to take it where it is running.

The purest water is apt to spoil by producing a putrid glare upon the inner surface of the cask which contains it. There is a great difference in this respect between a new cask, especially if made of moist wood, and that cask which has been hardened and seasoned by age and use. Several contrivances have been proposed for preparing the vessels that hold the water; but none have been found by experience so effectual as letting them stand for some time full of sea water; and it is a great advantage of this method, that it is so easily practicable.

It is in few places we meet with water such as that of Bristol, which, in clean vessels, may be kept for any length of time. We may consider all water kept in wooden vessels as more or less liable to putrefaction; but there is a substance, which is neither rare nor costly, that effectually preserves it sweet. This is quick lime, with which every ship should be provided, in order to put a pint of it into each butt when it is filled. It has the advantage of not being injurious to health; but, on the contrary, is rather friendly to the bowels, tending to prevent and check fluxes. In the year 1779 several ships of the line arrived in the West Indies from England, and they were all afflicted with the flux, except the Stirling Castle, which was the only ship in which quick lime was put into the water. Nor does it spoil the water for any culinary purpose. Its action in preventing putrefaction consists, in part at least, in destroying vegetable and animal life. An addition of putrescent matter is produced in water by the generation of small insects; and the glare that collects on the sides of casks, and also what collects on the surface of the water, is a species of vegetation of the order called by naturalists algæ79. Quick lime is a poison to this species of vegetable life as well as to insects: but upon whatever principle it depends, the property of it in preserving water sweet is so well ascertained, that it is inexcusable ever to neglect the use of it.

Quick lime is equally efficacious for this purpose, whether slacked or unslacked; and though the latter form is more convenient for stowage, by having less weight and bulk, yet the other is to be preferred for the sake of safety; for if water should by chance reach the unslacked lime, a great degree of heat is thereby produced, which has been known to give occasion to the most formidable accidents.

The only other objection I know of to the use of quick lime is, that it converts the water into a lime water, rendering it thereby disagreeable to the palate and stomach: but the quantity necessary to preserve it makes but a very weak lime water; for part of the lime is precipitated by the mephitic air, or the aerial acid, as it is otherwise called, of which there is some contained in the water. The accidental exposure to the atmosphere, which also abounds with this sort of air, tends farther to lessen the acrimony of the quick lime80.

There are other substances which have been found useful in correcting bad water. Alum and cream of tartar, as antiseptic bodies, have been employed for this purpose. Vinegar and the vegetable acid juices and fruits, such as tamarinds, may be used occasionally to take off the putrid offensive taste which may have arisen in case the use of quick lime has been neglected. In the fleet under Sir Charles Saunders, the water of the river St. Lawrence having been found to produce fluxes, this quality was removed by throwing four pounds of burnt biscuit into each cask before it was used. But there is nothing so effectual, and subject to so few inconveniences, as quick lime.

The next method to be mentioned of purifying water is filtration, which not only separates the gross impurities, but removes the putrid smell and taste. It is performed with a dripping stone, which is a convenient contrivance for officers, but cannot furnish a supply for a whole ship’s company.

When the water of wells or brooks is found loaded with mud, the following expeditious method of filtration, described by Dr. Lind, has been practised with success:—Let a quantity of clean sand or gravel be put into a barrel placed on one end, without the head, so as to fill one half or more of it, and let another barrel, with both ends knocked out, of a much smaller size, (or let it be an open cylinder of any kind) be placed erect in the middle of it, and almost filled with sand or gravel. If the impure water be poured into the small barrel or cylinder, it will rise up through the sand of both barrels, and appear pure above the sand of the large one in the interval between it and the small one.

But when water is offensive in consequence of being long kept, the most effectual and expeditious method of sweetening it is by exposing it to the air in as divided a state as possible. Boiling will not expel the putrid effluvia contained in water; but such is the attraction of air for this offensive matter, that the water need only be thoroughly exposed to it to be rendered quite sweet. This is best done by a machine invented by Mr. Osbridge, a lieutenant of the navy. It consists of a hand pump, which is inserted in a scuttle made at the top of a cask, and by means of it the water, being raised a few feet, falls through several sheets of tin pierced like cullenders, and placed horizontally in a half cylinder of the same metal. The purpose of it is to reduce the water into numberless drops, which being exposed in this form to the open air, is deprived of its offensive quality. The same method will serve to separate the superfluous quick lime in the water. It is a machine very deservedly in common use, and the working of it is a moderate and salutary exercise to men in fair weather.

The following contrivance will be found to afford a sufficient supply of sweet water to particular messes, and may be considered as an artificial and more expeditious sort of dripping stone.—Let the narrow mouth of a large funnel be filled with a bit of sponge, over which let there be a layer of clean gravel or sand covered with a piece of flannel, and over the whole another layer of sand. Muddy or offensive water being poured upon this, runs or drops out clear; and care must be taken to change the sand, sponge, &c. frequently, as they will become loaded with the impurities of the water81.

There should be in every ship an apparatus for distilling water in case of distress. This consists merely of a head and worm adapted to the common boiler, and distillation may go on while the victuals are boiling. More than eight gallons of excellent fresh water may be drawn off in an hour from the copper of the smallest ship of war82. I refer for a more particular account of all this to the works of Dr. Lind, who was the original inventor and recommender of this method.

This invention seems to have escaped others so long, from the idea that the desideratum in freshening sea water was some substance to be added to it while under distillation. No such substance is necessary, and, the more simple the mode of distillation, the fresher the water will prove.

Rain water at sea is always pure and wholesome, and may be saved occasionally by means of a sail or awning.

Notes in this chapter

Note 1 · See Essay on Sea Diseases.Note 2 · Limes, shaddocks, and perhaps all the other fruits of that class, possess the same virtues; but I have most frequently observed good effectsNote 3 · In the course of the passage from England to the West Indies in February, 1782, the following directions for using the sour krout and melassNote 4 · In the French ships of war there is an oven large enough to supply not only all the officers and sick, but part of the crew, with soft breadNote 5 · Mr. Napeane, afterwards Under Secretary of State, was at that time purser of the Foudroyant, and acted a very benevolent and disinterested pNote 6 · Half a pound of cocoa, and as much sugar, was allowed in place of a pound of butter.Note 7 · Table, exhibiting the daily Allowance of Provisions for each Man in the Navy. Biscuit. Beer. Beef. Pork. Pease. Oatmeal. Butter. Cheese. lbsNote 8 · Instead of leaving this to the management of the men themselves, it might be done with greater advantage to them by instituting short allowaNote 9 · The sailors in the squadron of Commodore Anson never murmured more under any of their hardships than when they were fed with fresh turtle foNote 10 · Since the first edition of this work was printed, I have met with a book published by Mr. Fletcher, a navy surgeon, in which he mentions thaNote 11 · This accident happened in the Cyclops frigate in September, 1780. Mr. Gordon, the surgeon, favoured me with the following account of it: “MrNote 12 · I was furnished by Dr. Clephane, physician to the fleet at New York, with the following fact, as a strong proof of the excellence of this liNote 13 · We have a remarkable proof of this in comparing the fleet under the command of Admiral Byron with that under the Count d’Estaing, when they Note 14 · See an article in Rozier’s Journal de Medicine for July, 1784, by Dr. Ingenhousz.Note 15 · Since I came to England I have met with a pamphlet published by Mr. Henry, of Manchester, in which an ingenious method, founded on chemical Note 16 · See Dr. Lind on the Health of Seamen.Note 17 · The want of this apparatus may be supplied, in case of exigency, by a contrivance mentioned by Dr. Lind, consisting of a tea-kettle with the
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