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ON THE

FEVERS of JAMAICA,

WITH SOME OBSERVATIONS

OH THE

INTERMITTING FEVER of AMERICA,

AND AN

APPENDIX,

Containing some Hints on the Means of preserving the
Health of Soldiers in hot Climates.

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Ntc me a dona tibi studio dispofia fiddi,

lntellecla priui qaamfint, contempt* relinquas. Lucres, lib. I.

— oiiiriija TM

BfoTw» i*iJx<>{. Pind: Olym. 4.
LONDON:

PRINTED FOR J. MURRAY, N°. 32, FLEET-STREET,
M DC C XC I.

10 OCT. 1931

VORAR,

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PREFACE.

THE observations, contained in the following pages, were made during the time that I lived in Jamaica, or while I attended some part of the army in America. The materials were collected between the years 1774 and 1782; and the present performance would have been offered to the public before this time, had I sooner found leisure to attend to the business of publication. The insufficiency of Dr. Hillary's work, the most esteemed book, on the diseases of the West Indies, and the only one with which I was acquainted while I remained in that country, furnished me with a motive for the undertaking; a motive, which may be thought, perhaps, no longer to exist, as two treatises have been published lately by Dr. t A 2. Hunter Hunter and Dr. Moseley, expressly on the diseases of which I have written. I might remark, that the present attempt, such as it is, was nearly completed before the treatises to which I allude came to my hands. The views which they afford of fevers, as they differ from each other, so they likewise differ from those which I have ventured to advance. I have weighed their merits maturely, and cannot fay that I discover any information, which gives me cause to change those opinions which I had formed, or which renders the publication of the present work unnecessary. I may observe that Dr. Hunter details, with candour and perspicuity, the mode os practice, which was followed by the most respectable medical people of Jamaica, at the time that I lived in the island. He perhaps prescribes the bark in larger quantities, than was then customary;

tomary; but I do not perceive any thing in the plan of treatment essentially new: neither will Dr. Moseley, tho' he pursues innovation with great eagerness, be better able to establish his claim to original discoveries. The plentiful and long continued purging, on which he places a considerable (hare of his merit, has been a favourite practice with numbers for many years past; and the free use of the lancet, which he recommends so much in fevers, was employed in several districts of Jamaica, before this authour's name was known. Dr. Spence, a practitioner of some eminence at Lucca, in the Western extremity of the istand, wrote a pamphlet (I believe in the year 1776) with a view to enforce its safety and utility, in promoting the cure of the general class of febrile diseases. The publication was well received, and served to remove the dread

of

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