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REGULATIONS FOR THE		r^f.
MEDICAL DEPARTMENT
THE ARMY.
    WASHINGTON:
GEORGE W. BOWMAN, PUBLIC PRINTER.
      1860. 
 
                   WAR  DEPARTMENT,
                                   March 6, 1860.
  The following  revised regulations for the Medical
Department of the Army having been approved by
the President,  he commands that they be published
for  the  government of all concerned,  and that they
be strictly observed.  Nothing  contrary to the tenor
of these present  regulations will be enjoined or  al-
lowed in any part of the forces of the United States
by any commander whatsoever.
                       JOHN  B. FLOYD,
                                  Secretary of War 
 
           REGULATIONS
                    FOR THE

MEDICAL  DEPARTMENT.
   1. The medical supplies for the army are prescribed in the Standard
 Supply Tables.
   2. The medical purveyors and the senior medical  officer of each
 hospital, post, or command,  will make  the  necessary requisitions  for
 medical and hospital supplies, in duplicate, (Form  1.)  If the supplies
 are to be obtained from the principal purveying depots, the requisitions
 will be made upon the Surgeon General on  the 31st day of December
 annually; if from department or field depots, they will be made upon
 the Medical Director at such times and for such  periods as he may
 direct.  Good vaccine matter will be  kept on  hand by timely requisi-
 tion on the Surgeon General.
   3. The medical purveyors at the principal depots will issue medical
 and hospital supplies only on the order of  the Surgeon  General; those
 at department or field depots will issue on the order of a Medical Direr-
 tor.  In particular and urgent cases, issues may be  made on a special
 requisition (Form 2) approved by a commanding officer ; a like authori-
 ty will be required in transfers of medical supplies.
  4. When it is  necessary to purchase medical  supplies, and recourse
cannot be had to a medical  disbursing officer,  they may  be procured
by the quartermaster on  a  special requisition  (Form 2) and account
 (Form 3.) 
6                   REGULATIONS  FOR  THE
  5. When any requisition for medical supplies is not according to the
Supply Table, the reason therefor must be set out.

  6. In every case of special requisition, a duplicate  of the requisition
shall, at the same time, be transmitted to the Surgeon General.

  7. Medical purveyors will make to the Surgeon  General, at the end
of each fiscal quarter, returns in duplicate (Form 4) of medical supplies
received, issued,  and remaining on hand, stating to whom, or from
whom, and where and when issued or received ; other  medical officers
in charge of medical supplies make similar returns of  them  annually,
on the 31st December ; and all officers, when relieved from the duty to
which their returns relate.   The returns will show the condition  of the
stores, and particularly of the  instruments, bedding, and   furniture.
Medical purveyors will furnish  abstracts  of receipts and issues, with
their returns, (Form 5.)

  8. An officer transferring medical  supplies, will furnish a certified
invoice to the officer who is to receive them, and transmit a duplicate of
it to the Surgeon General.   The receiving officer will transmit duplicate
receipts to the Surgeon  General, with a report  of the quality and con-
dition of the supplies, and report the  same  to the issuing officer.  A
medical officer who turns over medical supplies to a quartermaster for
storage or transportation,  will forward to the Surgeon General, with
the  invoice, the quartermaster's receipt for the packages.

  9. Medical officers will take up and account for all medical supplies
of the  army that come into their possession,  and report, when they
know it, to whose account they are to be credited.

  10. In all official lists of medical  supplies the articles will be entered
in the order of the Supply Table. 
MEDICAL  DEPARTMNET.
7
  11. Medical disbursing officers will, at the end of each fiscal quarter,
render to the Surgeon General, in duplicate, a quarterly account current
of moneys received and  expended, with the proper vouchers  for the
payments, and certificates that the services  have been rendered and the
supplies purchased and received for the medical service; and  transmit
to him an estimate of the funds required for the next quarter.

  12. The senior medical officer of a hospital will distribute the patients,
according to  convenience and  the nature of their complaints, into wards
or divisions, under the particular charge of the several assistant sur-
geons; and will  visit them  himself each day as frequently as  the state
of  the  sick  may require, accompanied by the assistant, steward, and
nurse.
   13. His prescriptions of medicine and diet are written down at once
in the proper register, with the name  of the patient and the number of
his bed; the  assistants fill up  the  diet table  for the day, and direct the
administration of the prescribed medicines.   He will detail an assistant
surgeon to remain at the hospital  day and night, when the state of the
sick requires it.
  14. In distributing the duties of his assistants, he will ordinarily
require the aid of one in the care and preparation of the hospital reports,
registers, and records, the rolls, and descriptive lists; and of another in
the charge of the dispensary,  instruments, medicines, hospital expendi-
tures, and the preparation of the requisitions and annual returns.

  15. He will enforce the proper hospital  regulations to promote health
and prevent contagion, by ventilated and not crowded rooms, scrupulous
cleanliness, frequent changes of bedding, linen, &c.

  16. He will require the steward  to take due care of the hospital stores
and supplies; to  enter in a  book, daily, (Form 6,) the issues  to the 
8                   REGULATIONS FOR  THE
wardmasters, cooks, and nurses; to prepare the  provision returns, and
receive and distribute the rations.
   17. He will require the wardmaster  to  take  charge of the effects of
the patients; to register them in  a book, (Form 7;) to have them num-
bered and labelled with  the  patient's  name, rank, and company;  to
receive from the steward the furniture, bedding, cooking utensils, &c,
for use, and keep a  record of them, (Form 8,) and how distributed to
the wards and  kitchens; and once a week  to take an  inventory of the
articles in use, and report to  him any loss  or damage to them, and to
return to the steward such as are not required for use.

  18. The cooks and nurses are under the orders of the steward; he is
responsible for the cleanliness of the wards  and  kitchens, patients and
attendants, and all articles in use.  He  will  ascertain who are  present
at sunrise, and sunset, and tattoo, and report absentees.

  19. At surgeon's call the sick then in  the companies will be conducted
to the hospital by the first sergeants, who will each hand to the surgeon,
in his company book, a  list of all the  sick of the company, on which
the surgeon shall state who are to remain or go into hospital; who are
to return to quarters  as  sick  or  convalescent; what duties the  conva-
lescents in quarters  are  capable of; what cases are feigned; and any
other information in regard to the sick of the company, he may have to
communicate to the company commander.
  20. Soldiers in hospital, patients or attendants, except stewards,
shall be mustered on  the rolls of  their company,  if it be present at the
post.
   21. When a soldier in  hospital is detached from his company so as
not to  be mustered  with it for pay,  his company commander shall
certify and send to the hospital his descriptive list and account  of pay 
MEDICAL DEPARTMENT.
9
and clothing, containing all necessary information relating to his accounts
with the United States, on which the surgeon shall enter all payments,
stoppages, and issues of clothing to him in hospital.  When he leaves
the hospital, the  medical officer shall certify and  remit his descriptive
list, showing the state of his accounts.   If he  is discharged from the
service in hospital, the surgeon shall make out his final statements for
pay and clothing.  If he dies in hospital, the surgeon shall take charge
of his effects, and make the reports required in  the general regulations
concerning soldiers who die absent from their companies.

  22. Patients in hospital  are, if possible, to leave their  arms and
accoutrements with their companies, and in no case to take ammunition
into the hospital.
  23. When a patient is transferred from one  hospital to another, the
medical officer shall  send  with him an account  of his case, and the
treatment.
  24. The regulations for the service of hospitals apply,  as far as
practicable, to the medical  service in the field.

  25. The senior medical  officer of  each  hospital, post, regiment, or
detachment,  will keep the following records, and deliver them to his
successor: a register of patients, (Form 9;) a prescription book, (Form
10;) a diet book, (Form 10;) a case book; a meteorological register,
(Form  11;) copies of his  requisitions, annual returns, and reports of
sick and wounded; and an  order and letter book, in which will  be
transcribed all orders  and letters relating to his duties.

  26.  He will make the muster and pay rolls of the hospital steward
and matrons, and of all soldiers in hospital, sick or on duty, detached
from their companies, on the forms furnished from the Adjutant Gen-
eral's office, and according  to the directions expressed on them.
             9 
10
REGULATIONS  FOR THE
   27. The extra pay allowed  to soldiers acting as cooks and nurses in
 hospitals  will be paid by the Pay Department.   Such extra services
 will be noted on  the hospital muster  rolls, and for the sums thus
 expended, the  Pay  Department will be reimbursed by the Medical
 Department.
  28. He  will select the cooks, nurses, and matrons,  with the approval
 of the commanding officer.  Cooks and nurses will  be taken from the
 privates, and will  be exempt from other duty,  but shall attend the
 parades for muster and weekly inspections of their companies at the
 post, unless specially excused by the  commanding officer.

  29. Ordinarily, hospital attendants  are allowed as  follows: to a gen-
eral hospital,  one steward, one nurse as wardmaster, one nurse to ten
patients, one  matron to twenty, and  one  cook to thirty; to a hospital
where  the command exceeds five companies, one steward and ward-
master, one cook, two matrons, and four nurses; to a post or garrison
of one  company, one steward and wardmaster, one nurse, one cook,
and  one matron; and for every two  companies more, one nurse;  at
arsenals where the number of enlisted men is not less than  fourteen,
one matron is allowed. The  allowance of hospital attendants for a
regiment in the field will be, for one company, one  steward, one nurse,
and one cook; for each additional  company, one  nurse; and  for com-
 mands  of  over five  companies, one additional cook.

  30. Medical officers where on duty will attend the officers and enlisted
 men, and the  servants and laundresses authorized by law; and, at sta-
 tions where  other medical attendance  cannot be procured, and on
 marches, the  hired men of the army, and the families of officers and
 soldiers.  Medicines will  be dispensed to the families of officers and
 soldiers, and to  all persons entitled  to  medical  attendance; hospital
 stores to enlisted men. 
MEDICAL DEPARTMENT.
11
  31.  Medical officers in giving certificates of disability, (Form 12,) are
to take particular care in all cases that have not been under their charge;
and especially in epilepsy, convulsions, chronic rheumatism, derange-
ment of the urinary organs, ophthalmia, ulcers, or any obscure disease
liable to be feigned or purposely produced; and in no case shall such
certificate be given until after sufficient time and examination to detect
any attempt at deception.
  32. In passing a recruit the medical officer is to examine him stripped;
to see that  he has free use of all his limbs; that his chest is  ample; that
his hearing, vision, and speech are perfect; that  he has no tumors, or
ulcerated or extensively cicatrized legs; no rupture or chronic cutaneous
affection; that he has not received any contusion, or wound of the head,
that may impair his faculties;  that he is  not a drunkard; is not subject
to convulsions; and has no infectious  disorder, nor any other that may
unfit him for military service.
   33.  Medical officers attending recruiting rendezvous  will keep a
record (Form 13) of all  the  recruits examined  by them.   Books  for
this purpose will be procured by application to the Surgeon General, to
whom they will be returned when filled.
   34. As soon as a recruit joins any regiment or station, he shall be
examined by the medical officer, and vaccinated when it is required.
  35. The  senior medical officer of each  hospital,  post, regiment, or
detachment, will make monthly to  the Medical Director, and quarterly
to the  Surgeon General, a report of sick  and wounded, and of deaths,
and of certificates for discharge for disability, (Form 14;) and transmit
to him monthly a copy of the meteorological register, (Form 11,) and
a copy of the "Statement of the hospital fund,"  (Form 18.)
   36. After surgeon's call, he will make  a morning  report of the sick
to the commanding officer.  (Form 15.) 
12
REGULATIONS  FOR THE
  37.  Every medical officer will  report to the Surgeon General, and to
the Medical Director, the date when he arrives at a station, or when he
leaves it, and his orders in  the case, and at the end of each month,
whenever not at his station, whether on service  or on leave of absence;
and when on leave of absence  his post office address for the  next
month.
  38.  The Medical Director will make to the Surgeon General a monthly
return of the medical officers of  the command,  (Form  16,) and a con-
solidated monthly report of  the sick  and wounded,  (Form 14,)  from
the several reports made to him.
  39.  When it is necessary to employ a private physician as medical
officer, the commanding officer may do it by written contract, conditioned
as in  Form  17, at a  stated compensation not to exceed $50 a month
when  the  number of officers and  men, with authorized servants and
laundresses, is 100 or more; $40 when it is from 50  to 100, and $30
when  it is under  50.
  40.  But when  he is required to abandon his  own business, and give
his whole time to the public service, the contract may be not to exceed
$80 a  month; and not to exceed $100, besides transportation in kind, to
be furnished by the Quartermaster's department, where he is  required
to accompany troops on marches or transports.  But a private physician
will not be employed to  accompany troops on marches or transports,
except by orders from the War Department, or, in particular and urgent
cases, by the order of the officer directing the movement; when a par-
ticular statement of the circumstances which make it necessary, will be
appended to the  contract.
   41. And when a private physician  is required to furnish medicines,
 he will be allowed, besides the  liquidated pay, from  25 to 50  per cent.
 on it, to be determined by the Surgeon General. 
MEDICAL DEPARTMENT.
13
  42. In all cases, a duplicate of the contract will be transmitted forth-
with  by the  commanding officer to the Surgeon General; and  the
commanding officer  for the time  being will  at  once discontinue  it,
whenever the necessity for it ceases or the Surgeon  General may so
direct.
  43. The physician's account of pay due must be sent to the Surgeon
General  for payment, vouched by the certificate of the commanding
officer, that  it is correct and agreeable to contract, and that the services
have been duly rendered. But when it cannot conveniently be submitted
to the Surgeon General from the frontier or the field, it may be paid on
the order of the commanding officer, not to exceed the regulated amount,
by a medical disbursing officer or a quartermaster.
   44. When medical attendance  is required by officers or enlisted  men
on service,  or for the authorized servants  of such officers, and  the
attendance of a medical officer cannot, be had, the officer, or if there be
no officer, then the enlisted man, may employ a private physician,  and
a just account therefor will be paid by the Medical Bureau.
  45. The account will set out the  name of the patient, the date  of  and
charge for each visit and for medicines.  The physician will make a
certificate to the account in case of an officer, or affidavit in the case of
an  enlisted  man,  that the account is correct, and the charges are  the
customary charges of the place.
  46.  The  officer will make  his  certificate, or the enlisted man  his
affidavit, to  the correctness of the  account, that  he  was on  service at
the place, and stating the circumstances preventing him from receiving
the services  of a medical officer.
  47.  When the charge is against an officer, he will  pay the account if
practicable, and transmit it to  the  Medical Bureau for reimbursement;
in all other cases the account will be transmitted to the Medical Bureau
for  settlement. 
14
REGULATIONS FOR  THE
  48. If the charge is against a deceased officer or enlisted man, the
physician will make the affidavit, before required, to the account, and
that he has been paid no part of it.
  49.  No charges for consultation fees will be paid by the Medical
Bureau; nor will any account for medical attendance or medicines be
paid, if the officer or enlisted man be not on service.

  50.  A board of not less than three  medical officers will be appointed
from time to  time by the Secretary of War, to examine applicants for
appointment of assistant surgeons, and assistant surgeons  for promo-
tion.  And no one shall be so appointed or promoted until so examined
and found qualified.
  51. The  board will scrutinize rigidly the moral habits, professional
acquirements, and physical  qualifications of the candidates, and report
favorably, either for appointment or promotion, in no case admitting of
a reasonable doubt.
  52. The  Secretary of War will designate the applicants to be ex-
amined for appointment of assistant surgeon.  They must be between
21 and 25 years of age.  The board will report their respective merits
in the several branches of  the examination, and their relative  merit
from  the whole; agreeably whereto,  if vacancies happen  within two
years thereafter, they will receive appointments  and take rank in the
medical corps.
  53. When an assistant surgeon has served five  years, he is subject to
be examined for promotion.  If he decline the examination,  or be  found
not qualified by moral habits or professional acquirements, he ceases to
be a medical officer of the army.
  54. An applicant for appointment failing at one examination, may be
allowed a second after two years;  but never a third. 
MEDICAL DEPARTMENT.
15
   55. The Secretary of War will appoint from the enlisted men of the
 army, or cause to be enlisted, as many competent hospital  stewards as
 the service may require, not to exceed one for each post.
   56. The senior medical officer of a hospital requiring a steward may
 recommend a competent non-commissioned officer or soldier  to be ap-
 pointed, which recommendation  the commanding officer shall forward
 to the Adjutant General of the army, with his remarks thereon, and
 with the remarks of the company commander.
   57. When no competent enlisted man can  be procured,  the medical
 officer will report the  fact to the Surgeon General.  Applications and
 testimonials of competency, from persons seeking  to  be  enlisted for
 hospital stewards, may be addressed to the Surgeon General.
   58. The commanding officer may re-enlist a hospital steward  at the
 expiration of his  term of service, on the recommendation of the medical
 officer.
   59. As the object of the act of August 16, 1856, in holding  out the
 inducement of a more permanent appointment, was to procure the ser-
 vices of a more competent body of hospital  stewards, no  soldier, nor
 citizen, must henceforth be recommended for appointment under that
 act, who is not known to be temperate, honest, and  in every way reli-
 able, as well as sufficiently intelligent, and  skilled in pharmacy, for the
 proper  discharge  of the responsible duties likely to be devolved upon
 him.
  60.  And as the act of July 5, 1838, section 12, which authorizes the
payment of soldiers employed as temporary stewards, is still in force,
and fairly provides for the current exigencies of  the  service, at the
same time that it affords the means for a careful probation of all soldiers
detailed  as  hospital stewards,  who may be ambitious of  one  day
deserving a permanent appointment, the Secretary  of War  will only
bestow the latter in  cases of special merit. 
16
REGULATIONS FOR  THE
  61. Hospital stewards, appointed by the Secretary of War, whenever
stationed in places whence no post return is made to the Adjutant Gen-
eral's office; or when on furlough, will, at the end of every month, report
themselves, by letter, to the Adjutant  General and Surgeon General, as
well as to the medical director of the military department in which they
may be serving;  to each of whom they will also  report each new assign-
ment to duty, or change of station, ordered in  their case, noting care-
fully the  number, date, and source of  the  order directing the same.
They will likewise report monthly, when  on furlough,  to the medical
officer in  charge of the  hospital to which they are attached.

  62. The jurisdiction  and  authority of courts-martial  are the  same
with  reference to hospital stewards as in  the  cases of  other enlisted
men. When, however, a hospital steward  is sentenced by an inferior
court to  be reduced to the ranks, such sentence, though it may be
approved  by the reviewing officer, will not be carried into effect until
the case has been referred to the Secretary of War for final action.  In
these cases of reduction, the application of the  man for discharge from
service, though not recognised as  of  right, will generally be regarded
with  favor, if his offence has not been of too serious a nature, and
especially when he has not been recently promoted from the ranks.

  63. As the hospital stewards, appointed by the Secretary of War, are
" permanently attached to the Medical Department," their accounts of
pay, clothing, &c, must be kept by the medical officers  under whose
immediate direction they are serving,  who are also responsible for cer-
tified statements of such accounts, and correct descriptive lists of such
stewards, to  accompany them in  case of transfer; as, also, that their
final statements  and certificates of discharge are  accurately made  out
when they are, at length, discharged from service. 
                     MEDICAL  DEPARTMENT.                  1 7


Standard Supply Table for General and Post Hospitcds.
            MEDICIXES.

Acaciae..................................lb.
Acidi acetici............................lb.
......  arseniosi........................oz.
......  benzoici.........................oz.
......  citrici ............................lb.
......  muriatici.........................lb.
......  nitrici ............................lb.
......  sulphurici.......................lb .
...................aromatici..........lb.
......  tannici...........................oz .
  .. .   tartarici..........................lb.
Aetheris sulphurici loti.............lb.
Alcoholis.............................bott.
Aluminis.............................  lb.
Ammoniaci.............................lb.
Ammoniae  carbonatis...............oz.
..............  muriatis.......'...........lb.
Anthemidis ............................lb.
Antimonii et potass, tartratis......oz.
Argenti nitratis (crystals).........oz.
................... (fused)............oz.
Amicae ..................................lb.
Assafoetidae ............................oz.
Bismuthi subnitratis................oz.
Camphorae.............................lb.
Cardamomi............................oz.
Catechu..................................lb.
Cerae albae*.............................lb.
Cerati resi n se...........................lb.
........ simplicis........................lb.
........ zinci carbonatis..............lb.
Chloroformi............................lb.
Collodii.................................oz.
Copaibae.................................lb
Creasoti.................................oz
Cre tae preparatae......................lb
Quantities for one year for
    commands of—
From
100 to
 200.
From   From i
200 to ;  300 to !  ",ou
 300. I  400.  |  nicn'
2	4	6
i	1	2
.;	1	2
1	2	3
1	2	3
.',	1	0
1	2	3
1	2	3
1	2	3
2	4	6
2	4	6
2	4	6
24	48	72
1	o	3
i	1	2
8	16	24
i	1	2
1	2	3
3	6	9
1	2	3
1	•>	3
1	2	3
4	8	12
4	H	12
2	4	6
H	16	24
i	1	2
2	4	6
2	4	6
8	16	24
2	4	6
1	o	3
2	4	6
5	10	15
2	4	6
1	2	3
 4
12
 4
 4
 4
16
16
 8
32
 2*5
 8
 8
32
 8
 4
 8
20
 8
 4
1,000
men.
16
 5
 5
 8
 8
4	8
4	8
4	8
8	16
8	16
8	16
96	192
4	8
2*	5
32	64
 H
24
 8
 8
 8
32
32
16
64
 5
16
16
64
16
 8
16
40
16
 8
' To be issued to posts where simple cerate cannot be sent without becoming rancid.

           3 
18
REGULATIONS  FOR THE
SUPPLY TABLE FOR HOSPITALS—Continued.
Quantities for one year for
    commands of—
Cupri sulphatis ......................oz
Emplastri adhaesivi................yds
............. cantharidis...............lb.
............. ferri........................lb
............. hydrargyri...............lb.
............. ichthyocollae..........yds
Extracti belladonna?................oz
...........  buchu fluidi................lb
...........  colchici  acetici............oz.
...........  colocynthidis comp......oz.
...........  colombae fluidi............lb.
...........  conii.........................oz.
...........  cubebae fluidi...............lb.
...........  gentianae fluidi.............lb.
...........  glycyrrhizae ...............lb.
...........  hyoscyami ................oz.
...........  ipecacuanha; fluidi.......lb.
...........  piperis fluidi...............oz.
...........  pruni virg. fluidi..........lb.
...........  rhei fluidi...................lb.
...........  sarsaparillae fluidi........lb.
...........  senegas fluidi...............lb.
...........  sennae fluidi................lb.
...........  taraxaci fluidi.............lb.
...........  Valerianae fluidi ..........oz.
...........  zingiberis fluidi...........lb.
Ferri iodidi............................oz.
.......et quiniae citratis.............oz.
.......sulphatis........................oz.
Gambogiae..............................oz.
Guaiaci resinae.........................lb.
Hydrargyri chloridi corr:.........oz.
..........................  mitis.........lb.
................cum creta...............lb.
................iodidi...................oz.
................oxidi rubri............oz.
Iodinii...................................oz.
Lini......................................lb.
Liquoris ammoniae...................lb.
...........ferri iodidi..................lb.
From   From  From
100 to   200 to ! 300 to
200.    300.  i  400.
 500
men.
2	4	6	8
5	10	15	20
3	6	9	12
1	2	3	4
I	1	2	2k
3	6	9	12
2	4	6	8
1	2	3	4
1	2	3	4
8	16	24	32
1	2	3	4
1	2	3	4
1	<2	3	4
1	2	3	4
6	12	18	24
2	4	6	8
	1	2	2^
1	2	3	4
1	2	3	4
1	2	3	4
2	4	6	8
i	1	2	2k
1	0	3	4
1	2	3	4
8	16	24	32
2	1	2	24
2	4	6	8
4	8	12	16
2	4	6	8
	1	2	2i
2	1	2	2h
1 2	I	2	2|
1	2	3	4
	1	2	n
1	2	3	4
1	2	3	4
2	4	6	8
4	8	12	16
4	8	12	16
1	2	3 !	4 !
1,000
men.
16
40
24
 8
 5
24
16
64
48
16
 5
16
 5
64
 5
16
32
16
 5
 5
 5
16
32
32 
             MEDICAL  DEPARTMENT.                   19


SUPPLY TABLE  FOR HOSPITALS—Continued.
Quantities for one year for
    commands of—
From
100 to
200.
From
200 to
 300.
From
300 to
 400.
 500
men.
1,000
men.
Liquoris potass:arsenitis..........oz.
...........sodae chlorinatae.......bott.
...........zinci chloridi...........bott.
Magnesiae...............................lb.
.............  sulphatis..................lb.
Massae pil: hydrargyri.............oz.
Mellis despumati......................lb.
Morphiae sulphatis...................dr.
Myrrhae.................................lb.
Olei anisi...............................oz.
......cajuputi..........................oz.
......caryophylli.....................oz.
......cinnamomi......................oz.
......menthae piperitae...............oz.
......morrhuae  ......................bott.
......olivae...........................bott.
......origani............................oz.
......ricini.......................qt. bott.
......terebinthinffi..............qt. bott.
......tiglii...............................dr.
Opii.......................................lb.
Picis  abietis............................lb.
Plumbi acetatis........................lb.
Potassae  acetatis......................lb.
............bicarbonatis...............lb.
............bitartratis..................lb
............chloratis....................lb
............nitratis......................lb
............sulphatis....................lb.
Potassii cyanureti...................dr.
..........  iodidi........................oz
Pruni virginianae......................lb.
Pulveris acaciae.......................lb.
........... aloes........................oz.
........... cantharidis  ................oz.
........... capsici.......................lb.
........... cinchona;....................lb.
........... ferri .........................oz.
.................per sulphatis.......oz.
........... glycyrrhizae...............oz.
 2
 3
 3
 2
25
 8
 2
 2

 1
 1
 1
 1
 2
 4
12
 4
 2

 2
 1
 1
 1
 1
 2
 1
 1
 4
 6
 6
 1
50
16
 4
 4
 1
 2
 2
 2
 2
 4
16
16
 8
24
 8
 4
 1
 2
 2
 2
 2
 4
 2
 2
 1
 2
16
 1
 4
 8
 4
 2
 2
 4
 2
 6
 9
 9
 2
75
24
 6
 6
 2
 3
 3
 3
 3
 6
24
24
12
36
12
 6
 2
 3
 3
 3
 3
 6
 3
 3
 2
 3
24
 2
 6
12
 6
 3
 3
 6
 3
12
 12
 12
  2|
100
 32
  8
  8
  24
  4'
  4
  4
  4
  8
 32
 32
 16
 48
 16
  8
  24
  4
  4
  4
  4
  8
  4
  4
  24
  4"
 32
  24
  8
 16
  8
  4
  4
  8
  4
 16
 16
 24
 24
  5
200
 64
 16
 16
  5
 8
16
64
64
32
96
32
16
 5
 8
 8
16
 8
64
 5
16
32
16
16
 8
32 
20                  REGULATIONS  FOR  THE


        SUPPLY  TABLE FOR HOSPITALS—Continued.
Pulveris ipecacuanhae.
.lb
et opii___..lb
     .......oz
     .......lb
     .......lb,
sinapis nigrae
ulmi............
         jalapae..
         lini......
         opii.....
         rhei..........................oz
         sabinae......................oz
                           ........lb
                           ........lb
duassiae.................................lb
duiniae sulphatis.....................oz
Rhei .....................................oz
Sacchari.................................lb
Saponis..................................lb
Scillae....................................oz
Serpen tariae............................lb
Sodae biearbonatis....................lb
.......boratis...........................lb
....... et potass: tartratis............lb
Spigelian.................................lb
Spiritus ammon: aromatici........oz
.......... oetheris compositi.........lb
................... nitrici..............lb
.......... lavandulae comp:..........lb
.......... vini gallici................bott
Strychniae..............................dr.
Sulphuris loti..........................lb
Syrupi scillae...........................lb
Tincturae aconiti radicis............lb
............ digitalis....................oz
............ ergotae (Dublin).........oz
............ ferri  chloridi..............lb
............ veratri viridis............oz
Unguenti hydrargyri................lb
• ••......•.................nitratis......lb
Veratriae ................................dr
Vini colchici seminis................lb
Zinci acetatis..........................oz
.......sulphatis........................oz,
Quantities for one year for
    commands of—
	1	2	24	5
	1	2	24	5
4	8	12	16	32
8	16	24	| 32	64
	1	2	24	5
4	8	12	16	32
1	2	3	4	8
6	12	18	24	48
2	4	6	8	16
5	1	2	24	5
0-20	20-40	30-60	40-80 80-160	
4	8	12	16	32
20	40	60	80	160
4	8	12	16	32
4	8	12	16	32
4	1	0	24	5
2	4	6	8	16
	1	2	24	5
3	6	9	12	24
i	1	2	24	5
o	4	6	8	16
	1	2	oi	5
2	4	6	8	16
	1	2	24	5
12	24	36	48	96
1	2	3	4	8
1	2	3	4	8
3	6	9	12	24
1	2	3	4	8
4	8	12	16	32
4	8	12	16	32
2	1	2	■)'.	5
4	8	12	16 ,	32
1	2	3	4	8
2	1	2	'V.	5
1	2	3	4	8
	1	2	24	5
1	0	3	4	8
1	2 1	3	4	8
 
MEDICAL  DEPARTMENT.
21
SUPPLY TABLE FOR HOSPITALS—Continued.
Quantities for one year for
    commands of—
From i  From |  From   _„„  I
100 to !  200 to  300 to :  500  |  I)000
200. j  300.  I  400.  I *»eu- '  me»'
           INSTRUMENTS.

Buck's   Spongeholder   for   the
  throat ................................no.
Cupping glasses or tins............no,
Dissecting............................sets,
Lancets, spring*.....................no.
........... thumbf.....................no,
Obstetrical...........................sets,
Pocket.................................sets,
Probangs..............................no,
Pulleys................................sets,
Scarificators...........................no,
Splints  (assorted)..................sets,
Stethoscopes...........................no,
Stomach pump and case............no,
Syringes, enemaj.....................no
............  penis, glass...............no,
....................metallic..........no,
............  vaginaj|  ...................no,
Teeth extracting....................sets,
Tongue depressor  (hinge).........no.
Tourniquets, field...................no,
.................. spiral.................no,
Trusses, hernia......................no
Anatomy..............................cop.
C hemi stry............................cop.
Dispensatory........................cop,
Medical Dictionary................cop
...........Formulary................cop
...........Jurisprudence and Toxico-
          logy.....................cop
...........Practice  ...................cop
Obstetricy............................cop

    * Four extra fleams to each lancet.
    t With cases.
 1
12
 1
 1
 4
 1
 1
 6
 1
 o
 1
 1
 1
 3
 2
 6
 3
 1
 1
 4
 1
 3
 1
12
 1
 1
 6
 1
 1
 6
 1
 2
 1
 1
 ]
 3
 4
12
 3
 1
 1
 4
 1
 6
 1
18
 1
 1
 1
 6
 1
 2
 1
 1
 1
 3
 6
18
 3
 1
 1
 6
 2
 9
 1
18
 1
 2
 8
 1
 1
 6
 1
 3
 1
 1
 1
 3
 8
24
 3
 1
 1
 6
 2
12
f 1 Davidson's ; 1, 4-07!.; 1, 8-oz.
|| Hard India rubber, 1; glass, 2. 
             REGULATIONS FOR  THE


SUPPLY TABLE FOR  HOSPITALS—Continued.
Articles.
Quantities for one year for
    commands of—
From   From
100 to   200to
 200.    300.
From
300 to
 400.
 500
men.
1,000
men.
Regulations for Med. Dept......cop
Surgery...............................cop
Blank ...................................no
Case.....................................no
Meteorological Register............no
Order and Letter.....................no
Prescription...........................no
Register.................................no
Requisitions    }
Returns        V ...................no,
Reports of sick. )
         HOSPITAL STORES.

Arrowroot..............................lb
Barley....................................lb
Cinnamon...............................lb
Cloves...................................oz
Cocoa....................................lb
Farina....................................lb
Ginger, ground (Jamaica).........lb,
Nutmegs...............................oz,
Tea.......................................lb,
Whisky, bottles of................doz,
Wine, bottles of.....................doz,
             BEDDING.

Bed sacks..............................no
Bedsteads, iron........................no
Blankets, woolen.....................no
Coverlets...............................n 0
Gutta percha cloth.................yds
Mattresses.............................no
Musquito  bars........................no,
Pillow cases...........................no
• ••■••••■ iicKs •••••••••••«•«..,...,,,,  no
Sheets................................."no!
 5
20
 2
 4
10
 5
 I
 .
 4
20
 2
 2
  10
 6-10
10-20
  10
  4
  2
 6-10
  25
  10
  40
10
40
 1
 8
20
10
 1
 8
40
 4
 4
  20
12-20
20-40
  20
   6
   4
12-20
  50
  20
  80
15
60
 2
12
30
15
 2
12
60
 6
 6
  30
18-30
30-60
  30
   8
   6
18-30
  75
  30
120
20
80
 24
16
40
20
 24
16
80
  40
24-40
40-80
  40
  10
   8
24-40
 100
  40
200
 40
160
  5
 32
 80
 40
  5
 32
160
 16
 16
  80
48-80
80-160
  80
  16
  16
48-80
 200
  80
 400 
             MEDICAL DEPARTMENT.


SUPPLY TABLE FOR  HOSPITALS—Continued.
23
Quantities for one year for
    commands of—
From
100 to
 200.
From	From	
200 to	300 to	500
300.	400.	men.
8	12	16
6	8	12
24	36	48
1	2	2
2	3	4
2	3	4
10	15	20
1	2	2
1	2	2
1	2	2
1	1	1
2	3	3
1	2	2
10	15	20
6	8	10
3	4	6
1	1	1
6	9	12
2	2	3
1	2	2
1	1	1
2	2	3
50	75	100
25	25	25
6	6	8
2	3	4
125	150	200
1	2	2
12	15	15
20	20	20
18	24	30
8	10	12
3	3	4
FURNITURE, DRESSINGS, &C
        es, suspensory*............no
 Binder's  boardsf.....................no
 Corks, assorted.....................doz
 Cork screws...........................no
 Cotton batting.........................lb
 ......... wadding.......................lb
 Flannel, red..........................yds
 Funnels,  glass........................no
 ............  tin...........................no
 Hatchets................................no,
 Hones (in wood)J...................no,
 Ink powder......................papers,
 Inkstands..............................no
 Linen..................................yds,
 Lint.......................................lb.
 Measures, graduated...............no,
 ..............tin........................sets.
 Medicine  cups and glasses||.......no.
 Mills, coffee...........................no,
 Mortars and pestles, glass.........no.
'..........................iron .........no.
 ..........................wedgewood.no,
 Muslin.................................yds,
 Needles, sewing......................no,
 Oiled silk or gutta percha tissue,
  or India rubber tissue..........yds,
 Pans, bed..............................no.
 Paper envelopes§....................no.
 Paper, filtering...................quires.
 ......... wrapping................quires.
 .........wri tingll..................quires.
 Pencils, hair...........................no.
 ...........lead .........................no.
 Pens, steel...........................doz.
  4
  4
 12
  1
  1
  1
  5
  1
  1
  1
  1
  2
  1
  5
  4
  3
  1
  3
  2
  1
  1
  1
 25
 25

  4
  2
100

 10
 12
 12
  6
  2
32
16
96
 3
 40
  4
  2
  2
  1  J
  4
  2
 40
 20
  6
  1  I
 24
  4
  2
  1
  3
200
 50

 12
  5
250
  3
 20
 30
 50
 18
  6
* Assorted.     f 18 inches by 4.     J 4 inches by 1.     || 2 cups to 1 glass.
§ Assorted, 3 sizes.   " Official business " printed on each.
*T Foolscap, letter, and note—white; blue ruled. 
24                  REGULATIONS  FOR THE


        SUPPLY TABLE FOR HOSPITALS—Continued.
■Quantities for one year for
     commands of—
 Pill boxes.........................papors
 .... machine...........................no
 Pins, assorted...................papers
 duills...................................no
 Rain gauges...........................no,
 Razors..................................no,
 Razor strops..........................no,
 Scales and wgts., apothecary's.sets,
 .......................shop............sets.
 Scissors................................no.
 Sheep  skins, dressed...............no.
 Silk, surgeon's........................oz.
 ...... green...........................yds.
 Spatulas................................no.
 Sponge...................................lb.
 Tape*...............................pieces.
 Thermometers & hygrometers...no.
 Thermometers .......................no.
 Thread, linen..........................oz.
 Tiles....................................no.
Tow......................................lb.
Towels..................................no.
Twine....................................lb.
 Urinals.................................no.
Vials,  assorted...................dozen.
Wafers, (| oz. boxes)..............no.
Wax, sealing.....................sticks.
From I  From : From
100 to I 200 to I 300 to
 200.    300.  !  400.
 3
 1
 2
25
 1
 1
 1
 1
 1
 2
 4
 1
 4
 2
 1
20
 1
 2
 6
 1
 3
 500
men.
 2
 1
 4
 3
 2
30
 1
 3
12
 1
 3
 2
 4
 4
12
 2
 1
 6
 3
 2
50
 14
 5"
18
 2
 4
 24
 6"
 4
16
 2
 1
 6
 3
 3
75
 14
 6
24
1,000
men.
6	9	12	24
1	1	1	1
4	6	8	16
25	50	50	50
1	1	1	1
1	1	1	2
1	1	1	2
1	2	2	2
1	1	1	1
2	2	3	4
6	8	10	12
i	2	i	1
 12
  1
 32
  2
  1
  8
  4
  5
150
  3
 10
 48
  3
  6
* One quarter, woolen ; three quarters, cotton. 
MEDICAL DEPARTMENT.
25
  Each medical officer will also be supplied with the following surgical

instruments for his personal use, which he will retain in his immediate

possession  so  long as he remains in the Army, and for the complete

and serviceable condition of which at all times  he will be  held respon-
sible :
           AMPUTATING.

 1 Capital Saw.
 1 Metacarpal Saw.
 1 Capital Amputating Knife.
 1 Medium    "        "
 1 Small      "        "
 1 Large Catling.
 1 Small   «
 1 Scalpel.
 1 Tenaculum.
 1 Artery Needle.
 1   "    Forceps.
 1 Bone     "
 1 Spiral Tourniquet.
 12 Surgeon's Needles.
 I Mahogany Case, brass bound.
 1 Gutta Percha Pouch.

           TREPHINING.

 2 Trephines.
 1 Scalpel, with Raspitor.
 1 Heys' Saw.
 1 Elevator.
 1 Brush.
 1 Mahogany Case, brass bound.

           EXSECTING.

1 Bone Forceps, Liston's.
2 Bone Forceps, sharp, assorted.
1 Bone Forceps, for Sequestra.
1 Chain Saw.
1 Chisel.
1 Gouge.
1 Lenticular Knife.
2 Spatulas, protecting.
1 Trephine, small crown
1 Ecraseur.
1 Mahogany Case, brass bound.
1 Gutta Percha Pouch.
       GENERAL OPERATING.

 1 Metacarpal Saw.
 1 Trocar.
 1 Ball Forceps.
 1 Gullet   "
 1 Artery   "
 1 Dressing "
 2 Scissors, straight and curved.
 1 Artery Needle, with 4 points.
 12 Surgeon's Needles.
 1 Tourniquet.
 1 Small Amputating Knife.
 1   "   Catling.
 3 Bistouries.
 1 Hernia Knife.
 3 Scalpels.
 1 Cataract Knife.
 1    "   Needle.
 1 Tenaculum.
 1 Double Hook.
 6 Steel  Bougies,  silvered,  double
   curve, Nos.  1 and two, 3 and 4,
   5 and 6,  7 and 8, 9 and 10, 11
   and 12.
6 Wax Bougies, Nos. 2, 4,6, 8,10.
3 Silver Catheters, Nos. 3, 6, 9.
6 Gum-elastic Catheters, Nos. 1,3,
   5,7,9, 11.
2 Mahogany Cases, brass bound.
1 Gutta Percha  Pouch.
1 Large Scalpel.
1 Small   "
4 
26
REGULATIONS FOR  THE
1 Artery Forceps.
1 Bull-dog  "
1 Curved   "
1 Dressing "
1 Needle.
1 Sharp-pointed Bistoury.
1 Probe-pointed     "
1 Long Probe-pointed Bistoury.
1 Straight Scissors.
1 Knee       "
1 Flat curved Scissors.
1 Gum Lancet.
1 Tenaculum.
                         1 Leather Trunk
1 Tenotomy Knife.
1 Abscess Lancet.
1 Exploring Needle.
1 Exploring Trocar.
1 Seton Needle.
1 Spatula.
2 Probes.
1 Director.
1 Double Canula.
1 Comp'd Silver Catheter
6 Surgeon's Needles.
1 Artery Needle.
1 Morocco Case.
  To each General and Post Hospital, one ounce  of brominium, witli

printed  directions  for preparing and administering Bibron's antidote to

the poison of serpents.  Also one bottle of liquor ferri per sulphatis, and

one bottle of liquor ammoniac, in equal  proportions, with printed  direc-

tions for preparing speedily and for administering  the  hydrated sesqui-

oxide of iron, as an antidote to poisoning by arsenic.

  If the following articles  of Hospital Furniture  cannot be  obtained

with the hospital fund, they may be procvired from  a quartermaster or

medical disbursing officer, by special requisition :
ARTICLES.
Basins, wash.
Bowls.
Brushes.
Buckets.
Candlesticks.
Clothes Lines.
Cups.
Dippers and Ladles.
Graters.
Gridirons.
Kettles, tea.
Knives and Forks.
Lamps and Lanterns
Locks and Keys.
Mugs.
Pans, frying.
....... sauce.
Pitchers.
Plates and Dishes.
Pots, chamber and chair.
.......coffee and tea.
Sadirons.
Shovels, fire.
Snuffers.
Spoons.
Tongs and Pokers
Tumblers.
Woodsaws. 
             MEDICAL  DEPARTMENT.                  27


Standard Supply  Table for Field Service.
Quantities.
                   MEDICINES.

Acidi acetici...............................................lb.
....... sulph. aromatici.................................lb.
 ...... tannici..............................................oz.
Alcoholis ...............................................bott.
Aluminis...................................................lb.
Ammonia* carbonatis..................................oz.
Antimonii et potass, tartratis........................oz.
Argenti nitratis (crystals).............................oz.
.................... (fused).................................oz.
Brominii...................................................0z.
Camphora?................................................lb.
Cerae albae.................................................oz.
Cerati resins.............................................lb.
........simplicis...........................................lb.
Chloroformi..............................................lb.
Copaiba;....................................................lb.
Crcasoti...................................................oz.
Cupri sulphatis..........................................oz.
Emplastri adhsesivi...................................yds.
............. cantharidis...................................lb.
.............ichthyocollae..............................yds.
Extracti belladonna;...................................oz.
........... buchu fluidi...................................lb.
........... colchici acetici...............................oz .
........... colocynthidis comp........................oz.
........... glycyrrhizae...................................lb.
........... rhei fluidi......................................lb.
........... senegae fluidi.................................oz .
........... sennae fluidi...................................lb.
Hydrargyri chloridi corrosivi.......................oz.
..........................  mitis.............................lb.
Iodinii......................................................oz.
Liquoris ammoniae......................................lb.
...........  potass, arsenitis.............................oz.
Magnesiae sulphatis.....................................lb.
Massae pil: hydrargyri.................................oz.
Morphiae sulphatis......................................dr.
Olei caryophylli.........................................oz .
Ket*t	Bat.
3 mos.	3 mos.
1	
1	;;
2	1
10	.)
1	!-
Comp.
3 mos.
4	0
10	5
4	2
10	5
1	1
1	i
2	1
16	8
2	1
2	1
8	4
o	1
2	]
4	2
4	2
4	2
20	10
16	8
4	2
1	1
16	8	4
2 !	1	1
2 I	1	2
•>	1	i
1	1	i
4	o	l
2	2	l
o	1	
y	4	2
2	1	1
o	1	I
2	1	1
 
28                   REGULATIONS FOR  THE


      SUPPLY TABLE  FOR  FIELD SERVICE—Continued.
Quantities
Olei menthee piperitae...................................oz
.....olivae...............................................bott
.....ricini...........................................qt. bott
.....terebinthinae..................................qt. bott
.....tiglii...................................................dr
Pilul: cathartic: comp: (U. S.)....................doz
........opii (U. S.).....................................doz
........quiniae sulphatis (3 grs.)...................doz,
Plumbi acetatis...........................................lb,
Potassae bicarbonatis...................................lb,
...........chloratis........................................lb,
...........nitratis..........................................lb,
Potassii cyanureti......................................dr,
.......... iodidi............................................oz
Pulveris acacice...........................................lb,
...........capsici...........................................lb,
...........ferri per sulphatis...........................oz,
...........ipecacuanhas...................................lb,
............................et opii.........................oz,
...........lini...............................................lb,
                  .......................................lb,
                  .......................................lb,
...........sinapis nigrae..................................lb,
duiniae sulphatis........................................oz,
Sacchari....................................................lb,
Saponis.....................................................lb,
Sodae bicarbonatis.......................................lb,
Spiritus ammoniae aromatici.........................oz,
...........aetheris comp:.................................lb,
.................... nitrici.................................lb,
...........vini gallici...................................bott,
Strychniae.................................................dr
Tincturae aconiti radicis...............................lb
............ferri chloridi.................................lb
............opii.............................................oz
............veratri viridis................................oz
Unguenti hydrargyri...................................lb
...........................nitratis.........................lb
Zinci acetatis.............................................oz
Zinci sulphatis...........................................oz
opii.
rhei.
Reg't
3 mos.
 2
 8
12
 8
 2
 8
 8
 8
 2
 1
 2
 1
 1
 6
 4
 2
 4
 1
 8
16
12
24
10
 8
 1
 4
 1
 Bat.
3 mos.
24	]2
1	1
1	.■
1	i
16	H
8	4
1	2
	1
2	1
2	1
Comp.
3 mos.
4	4
8	4
1	5
6	3
12	6
5	2
4	2
2 2	i 2
2 1 12	2 2 6
1	!
 
               MEDICAL DEPARTMENT.                  29


SUPPLY TABLE FOR FIELD SERVICE—Continued.
Articles.
                 INSTRUMENTS.

Buck's sponge holder for the throat..............no.
Cupping glasses and  tins*............................no.
Lancets, spring..........................................no.
............thumb (with cases)........................no.
Pocket...................................................sets.
Probangs, whalebone..................................no.
Scarificators..............................................no.
Splints (major).........................................sets.
Stomach pump and case..............................no.
Syringes, enemat.......................................no.
.............penis, glass.................................no.
.....................India rubber.......................no.
Teeth extracting......................................sets.
Tongue depressor (hinge)............................no.
Tourniquets, field......................................no.
.................. spiral....................................no.
Trusses, hernia..........................................no .
Anatomy (surgical)...................................cop.
Medical Practice.......................................cop.
Regulations for Medical Department............cop.
Surgery (operative) .................................cop .
Thompson 's Conspectus............................cop.
Blank......................................................no.

               HOSPITAL STORES.

Arrow root................................................lb.
Candles (sperm).........................................lb.
Farina.......................................................lb.
Ginger (fluid extract)..................................lb.
Nutmegs..................................................oz.
Tea..........................................................lb.
Whisky, bottles of..................................doz.
Quantitie		
Reg't	Bat.	Comp.
3 mos.	3 mos.	3 mos.
1	1	1
16	8	4
1	1	1
6	4	2
1	1	1
12	6	2
4	2	1
1	1	1
1	1	1
4	2	1
8	4	2
8	4	2
1	1	1
1	1	1
8	4	2
2	o	1
6	3	2
	1	1
	1	1
	1	1
	1	1
	1	1
4 j 4		4
10	5	3
2	1	1
10	5	3
1	|	j
8	4	2
30	15	/
2	1	
'Halt'glass, half tin.
11 Davidson's ; 1 hard rubber, 6 oz. 
30                  REGULATIONS  FOR THE


      SUPPLY TABLE FOR  FIELD SERVICE—Continued.
Quantities.
Reg't
3 mos.
 Bat.   Comp.
3 mos.  3 mos.
Blankets, woolen (brown)...........................no.' 20-40
Blanket cases (of canvass, after pattern).........no.  1 for
Guttapercha cloth....................................yua-   8
................ bed covers(l).........................no.:   8
Musquito bars...........................................no.:   12
          FURNITURE AND DRESSINGS.

Bandages,(2) roller, assorted......................doz.
..................suspensory, assorted................no.
Binders' boards (18 inches by 4)..................no.
Buckets, leather.........................................no .
Corks, assorted........................................doz.
Corkscrews..............................................no.
Cotton batting............................................lb.
......... wadding..........................................lb.
Flannel (red)...........................................yds.
Hatchets...................................................no.
Hones (4 inches by 1, in wood)...................no.
Ink, 2-ounce  bottles....................................no.
Knapsack, hospital(3)................................no.
Lanterns...................................................no.
Lint.........................................................lb.
Litters and •stretchers, hand(3).....................no.
.........horse(3).........................................no .
Measures, graduated, assorted(4)..................no.
Medicine chests.........................................no .
............ cups and glasses(5)......................no .
............ panniers.....................................no .
Mess chests (see  note)................................no.
10-20   10
10 blalnkets.
   4      2
   4   ,   2
   6      4
14	7	4
12	6	4
18	9	5
4	2	2
12	6	3
0	1	1
2	1	i
2	1	
5	3	2
•>	1	1
1	1	1
12	6	3
~
4 8	2 1 1 4 2
	
4	2 2
6	3 2
	
  (1) So constructed as to  form, when
united, a continuous spread or covering.
  (2) 1 dozen, 1 inch wide, 1 yard long.
(3) According to pattern.
(4) 6 oz., 2 oz., minim.
(5) 2 cups to 1 glass. 
               MEDICAL  DEPARTMENT.                  31


SUPPLY TABLE FOR FIELD SERVICE—Continued.
Mills, coffee..............................................no
Mortars and pestles, wedgewood (small)........no
Muslin....................................................yds
Needles, sewing (assorted, in a case)............no
Oiled silk or gutta percha tissue, or India rubber
  tissue...................................................yds
Pans, bed(l).............................................no
Paper envelopes, assorted(2)........................no
Paper, wrapping...................................quires
.........writing(3)..................................quires
Pencils, hair..............................................no
.......... lead (of Fabcr's make, No. 2)..........no
Pens, steel...............................................doz
Pill boxes (wood).................................papers
.............. (tm)..........................................no
Pins, assorted (large and medium) ..........papers
Razors...............,.....................................no
Razor strops.............................................no
Scales and weights, apothecary's................sets
Scissors...................................................no
Sheep skins, dressed...................................no
Silk, surgeons'...........................................oz
.......green..............................................yds
Spatulas...................................................no
Sponge (washed)........................................lb
Quantities.
Reg't
3 mos.
Tape
.piec
Thread, linen.............................................oz
Tiles........................................................no
Towels ....................................................no,
Twine......................................................lb.
Urinals....................................................no
Vials, assorted (1 oz. and 2 oz.)..................doz,
Wafers Q-ouncc boxes)..............................no,
Wax, sealing........................................sticks.
 2
 2
20
25
  2
100
  6
 12
 24
 12
  4
  2
  6
  4
  1
  1
  1
  4
  4

  i
  6
  1
  4
  2
  2
 40
  2
  4
  4
  1
 Bat.
3 mos.
 1
 1
10
25

 4
 1
50
 3
 6
12
 fi
 2
 1
 6
 o
 1
 1
 1
Comp,
3 mos.
 1
 1
 5
25

 2
 1
25
 1
 3
 6
 3
 1
 I
 6
 2
 1
 1
 1
 2
 1
I	
	1
3	2
;;	i
2	1
1	1
1	1
20	10
j	4
2	1
2	1
1	1
1	1
  (1) Of hard India rubber or other mate-
rial.  Shovel.
  (2) SO letter, 25 note, 2.*i large.  "Official
Business" printed on each.
  (3) 2 foolscap, 6 letter, 4 note
blue ruled. 
32
REGULATIONS FOR THE
NOTE TO PRECEDING TABLE.
Furniture of Mess Chest.
8 Basins, tin.
2 Boxes, pepper and salt.
6 Cups, tin.
4 Canisters, (for tea, coffee, sugar, and
   bntter.)
2 Dippers and ladles.
1 Grater.
1 Gridiron.
1 Kettle, tea, iron.
12 Knives and forks.
6 Mugs,  (Britannia, half-pint.)
1 Pan, frying.
1 Pan, sauce.
8 Plates (6) and dishes, (2) tin.
1 Pot, iion.
2 Pots, coffee and tea, tin.
12 Spoons, iron, (table [6] and tea [6.])
1 Tray, tin.
6 Tumblers, tin.
  The Standard Supply Tables contain all the articles to be purchased

by medical purveyors, except  on the  orders of the  Surgeon  General;

but any less  quantity may be required  or  any article  omitted at the

discretion of the medical officer.


  The transfer of the surgical instruments issued to each medical officer

for  his personal use, is positively forbidden.  Those instruments will

be accounted for to the Surgeon General on  the  31st day of December

annually in a  special return, in which the true condition of each must

be stated;  and  if any be  lost  or  damaged, a  report of the facts and

circumstances attending such loss or damage must be given. 
MEDICAL DEPARTMENT.
33
         METEOROLOGICAL  OBSERVATIONS.

  The following "Directions for taking Meteorological Observations "
will be observed, in all respects, with the utmost strictness and regu-
larity.
  The senior medical officer on duty at each military station is respons-
ible for the accuracy  of the meteorological observations made at the
station, and will sign each register.
  Within five days after  the close of each month, a fair copy of the
Meteorological Register (Form No. 11) will be transmitted, under cover,
addressed directly to the Surgeon General.
  The Department expects that the medical officers will instruct hospital
stewards in the proper mode of taking and recording these observations,
and give to the subject their personal  supervision.   If  the register be
inspected daily, at  the time of signing the morning report, errors would
be promptly corrected with very little trouble to the medical officer.


                         DIRECTIONS.

  Observations of  the barometer, with its attached thermometer, of the
thermometer (detached) and hygrometer, of the direction and force of
the wind, and of the weather, will be made at  7 a.  m., 2 p. m., and
9 p. m.
  At every fall of rain, snow, hail, or sleet, the  time of its commence-
ment and end will be recorded, and the quantity which fell, as indicated
by the rain gauge.
             5 
34
REGULATIONS FOR THE
  Each of the above observations will  be  registered, as soon as made,
in its appropriate column.  Should, however, an observation be from
necessity omitted at any of the  regular periods, it  is enjoined that a
blank be left on the  register in the  place where the omitted observation
should have been recorded.
  At the end of the month, add up each column of figures on the registei
under the heads of "Barometer" and "Thermometer Attached," and
divide the sum  by  the number of days on which  observations were
made.   The quotient will be placed at the foot of each column, upon the
line marked "Monthly Mean."
  One-third of the sum of  the three daily observations of the thermom-
eter and hygrometer, will be registered as the daily mean.  The sum of
the observations  recorded in the 7 a. m., 2  p. m., and 9 p. m. columns,
divided by the number of observations made during the month at those
hours respectively, will give the monthly mean for each of those hours;
and one third of  the sum of these three mean results is to be recorded
as the average mean for the month.  The correctness of  this last result
is to  be proved  by adding  the  "daily means," and dividing by the
number of days  of  observation;  the  two results should approximate
very closely, if the additions and  divisions have been correctly made.
  The  "Quantity of Rain" will also be added up, and the sum placed at
the foot of the proper column.
  In all entries on the register, fractions will be expressed in decimals,
carried out two points.

    BAROMETER AND ATTACHED  THERMOMETER.

  The  barometers now in  use by the  Department are the syphon, of
Bunten, and the cistern, of Green. 
MEDICAL DEPARTMENT.
35
   Special directions for observing those instruments, respectively, will
 be issued with each  barometer,  or will be furnished to the medical
 officers on application to the Surgeon General.


                THERMOMETER (DETACHED.)
   The thermometer will be placed in a situation having a free circulation
 of air, not exposed to  the direct or reflected rays of the sun, and  shel-
 tered  from rain.  Its  situation should be remote from massive walls,
 which slowly imbibe  or  part with caloric.  In  making observations
 avoid  breathing on the instrument, or touching it; and at  night manage
 your lamp so as not to cause a rise of the mercury by its  heat.


                         HYGROMETER.
   The hygrometer adopted by this  Department consists  essentially of
 a  thermometer, the bulb of which is covered with floss silk enclosed in
 a  piece of thin muslin, the ends of the silk sufficiently long to dip into
 water  contained in a  brass  reservoir secured  immediately below the
 bulb.  In the top of this reservoir is a small opening to  admit  the  silk,
 and to the front is attached a cylinder communicating with the interior
 by a small hole.  The reservoir is to be kept always supplied  with
 water poured into it through the cylinder, and the bulb will be constant-
 ly moistened by capillary absorption.
   Should the floss silk  become incrusted with saline  particles, or  with
 dirt, it may be cleaned  by gently syringing it with warm water, or by
 means of a soft brush or camel's hair pencil; and  in  the  event  of the
reservoir becoming filled with sediment, it may be removed  from the
case by taking out the screws by which it is attached, when  it may be
freely  rinsed, and  the sediment detached with a feather introduced
through the opening in the  top.  To prevent such accumulations, the 
36
REGULATIONS  FOR THE
 use of filtered rain or of distilled  water is recommended.   An extra
 quantity of silk will  be issued with each instrument, and if it be found
 necessary to apply a  new covering to the bulb, it may be readily done
 by first removing the reservoir as above directed, and taking care that
 the floss silk is accurately spread over the surface of the  bulb inside of
 the gauze, before tying the thread  above it.  In  those  instruments in
 which the bulb of the hygrometer is  curved forward,  it  will  not  be
 necessary to remove the  reservoir in order to apply a new  cover.  In
 freezing weather, when the covering of the bulb remains  dry, it will  be
 necessasy to moisten it with cold water, about fifteen or twenty minutes
 before the time for making the observation  ; the evaporation from the
 film of ice thus formed, being  slower  than that from water.   When
 recourse is had to this special moistening of the bulb, the fact will  be
 noted in the column for remarks.
  The directions respecting the position and exposure of the thermome-
 ter, will be observed in regard to the hygrometer.

                              WIND.
  The direction  and  estimated force of the  wind will  be registered
together.
  The direction will be expressed, as is customary, by the letters  which
 denote the points of the compass, as VV., S. W., &c.  The force of the
wind will be expressed by figures from 0 to  10, thus  ;

                                     5 will signify a strong wind ;
                                     6    ':      a  very strong wind;
                                     ~    "      a storm;
                                     8    "      a great storm;
                                     9    "      a hurricane;
                                     0    "      a  violent hurricane.
  For example:—should the wind blow a brisk breeze from S. W. the
 expression in the Register would be, S. W.  4.
0 will signify a calm ;
I   "      a barely perceptible
             breeze ;
2   "      a gentle breeze;
3   "      a moderate breeze;
4   "      a brisk breeze; 
MEDICAL DEPARTMENT.
37
  The whole number of times any point of the compass is  recorded
during the month gives the " number of observations," and that num-
ber divided by 3 gives the number of days, from that point.   The
results thus obtained are to  be registered  under " Summary of Winds
and Weather."


                           WEATHER.
  Observations on the weather will be recorded as fair or cloudy; and
the number of fair and cloudy days during the month will be ascertained
by dividing the sum total of each record  by 3.  The number of days
on which it rains or snows will be noted separately.


                              RAIN.
   The instrument used  to measure the quantity of rain which falls, is
the conical rain gauge.
   It will be kept remote  from all elevated  structures, at a distance at
least equal to  their height, and  still farther off where it can be con-
veniently done.   It is to be  suspended  in  a  circular opening made in a
board, which is to be fixed to a post, eight feet from the ground; the
opening to be five inches in diameter, and beveled so as to fit the side of
the gauge, into which the cap is to be fixed, base downwards, to prevent
evaporation.   The measurement is made by putting down perpendicu-
larly to the bottom of the gauge, the measuring stick, and applying it,
from its point to the  water mark, on the scale, which will express the
quantity in inches or their decimals.  The graduation of the scale is by
hundredths of an inch for the first  three-tenths of an inch, and  above
that by tenths and half tenths.  Parts of degrees will  be  measured by
the eye, and set down in decimals.  If a rain continue for any length
of time, the quantity  in the gauge will be measured at suitable intervals, 
38
REGULATIONS FOR  THE
 before the water rises high in it, and the measurements summed up at
 the close.
   In freezing weather, when the rain gauge cannot be used out of doors,
 it will be taken into the room, and a tin vessel will be substituted for
 receiving the snow, rain, or sleet,  that may then fall.  This vessel must
 have  its opening exactly equal to that of the rain gauge, and  widen
 downwards to a sufficient depth with  a considerable slope.  It should
 be placed where nothing can obstruct the descending snow from enter-
 ing, and where no drift snow can be blown into it.  During a continued
 snow storm, the snow may be occasionally pressed  down.  The con-
 tents of the vessel must be melted by placing it near  the fire, with a
 cover to prevent evaporation, and  the  water  produced poured into the
 gauge  to ascertain its quantity,  which must  then be  entered on the
 Register.
                           REMARKS.
   Under this head may be noted all remarkable phenomena, especially
 sudden and simultaneous* changes of wind  and temperature; their effect
 on the barometer; the moment of greatest depression of the barometer
 in the passage of storms; currents of clouds moving in  different direc-
 tions, and  at different heights; the rise and  fall of rivers and lakes;
 remarkable tides;  the opening and closing  of navigable  waters; the
last killing frost that occurs  in  spring, and the first  in  autumn, as
shown by their  effects on the tender buds, leaves, and germs of fruit
trees,  &c; the  commencement and progress of vegetation;  the first
appearance and  departure of birds of passage;  thunder storms,  near
 or remote;  silent lightning, with  its  direction  and elevation  above
 the horizon; falls of hail,  snow,  and sleet;  fogs; white  or hoar
 frost,  &c.
  * All atmospheric vicissitudes which seem to affect invalids unfavorably or oUier-
 wise, and the supposed agency of climate in the causation and cure of disease will
 be noticed in the Quarterly Report of Sick. 
MEDICAL DEPARTMENT.
39
  Always examine the heavens at the latest observation, whether there
be any Aurora or shooting stars; and  especially  about  the  10th  of
August, and  12th  and 13th of November, see whether there  be any
great number of luminous meteors visible, stating the number observed
in an hour, or at least in a quarter of an hour.  In case of great fires
occurring in  clear, calm, dry weather, with a  high  dew point, observe
whether clouds form over the fire, and describe the phenomena.
  Connected with meteorology are many interesting  subjects of inquiry,
which can only be elucidated by wide-spread, simultaneous observations.
The medical officers of the army are therefore confidently invited  to
co-operate in the collection of data tending to advance the interests of
science.   For the  accuracy of their observations, (quoted as they will
be both at home and abroad,) it is hardly necessary to say the reputa-
tion of the Department is pledged. 
                            Form  1.
REGIUISITION FOR  MEDICAL AND HOSPITAL SUPPLIES.
Station:
From
 Period:
to-----
Command: Officers,----; Enlisted Men,----; All others entitled to Medicines,----; Total,
    Articles, and Characters or
           Quantities.


Acaciae......................................lb.
Acidi acetici..............................lb.
....... arseniosi...........................oz.
Articles, and Characters or
        Quantities.
Date:
Surgeon U. S. Jlrmy.
    N. B.—Requisitions will exhibit the quantity of each and every article "on hand," whether  more be
wanted or not.  They will be transmitted in duplicate, and by different mails.
o 
                                    Form 2.
        SPECIAL  REQUISITION  FOR SUPPLIES OF  MEDICINES, &c.
Requisition for Medicines (Hospital Stores, cf*c.) required at--------, for -
Aect: plunibi, lb. i.
Pulv: cinchonse, lbs. x.
    &c. &c.
    &c.  &c.
    I certify that the medicines above required are necessary for the sick at------, in consequence of [here
state whether from loss, damage, &c, &c] and that the requisition is agreeable to the Supply Table.
                                                                      ------------, Surgeon.
Approved:
Commanding Officer.
Received------,  18—, of-
-, the articles above enumerated.
-, Surgeon. 
                                            Form 3.
account for medicines, &c, purchased by a surgeon ok an  officer. of the quartermaster's
                                           DEPARTMENT.
to
The United States,
To  A B,
Dr.
Acet: plumb; lb: i, at 50 cts........................................................................... $    50
Pulv: cinchon; lbs: x, at $2...........................................................................   20 00
&c, &c, &c.
  I certify that the articles above charged, for the use of the sick at------, are agreeable to the foregoing
requisition, and that the charges arc reasonable and just.
                                                                       -------------, Surgeon.
Received,------, 18—, of •
dollars and----cents, in full of the above account.
A  B.
  Note.—The above certificate may be signed by the Surgeon making the requisition, or by any Surgeon, or Assistant Sur-
geon, belonging to the army. 
                        Form  4.

RETURN  OF MEDICAL AND HOSPITAL PROPERTY.
Articles, and Characters or

        Quantities.
	E a		m		p e 3 ~	i			
g									
	i.				>-. s	a	^		
									
	a		j=		■°'3	C 3			
a	c								
a			•a			3	S a; O.	■c	
a			•a					e	
			c	"B	o			«	
		a					rt		
								c O	
a O		o			h3	£	EH		
    I certify, on honor, that the above Return is correct, to the best of my knowledge, and that the medicines
and stores have been expended with the sick belonging to the army alone.
                                                                         -------------, Surgeon.


    N. B.—Returns will always be transmitted in duplicate, and by different mails.
00 
                                           Form  5.
Abstract of Medical and Hospital Property received and issued at-------in the quarter endiny
        on the----day of-------,  18—, by----------, Medical Purveyor  U. S. Army.
4^
articles, and characters OR quantities.	c *£ a o >	c* 6 'A o >	RECE ro 6 ■3 O >	ived. n* 6 =5 o >	6 Z 3 C >
					
I certify that the above abstract is correct.

N. B.—Invoices and receipts must accompany this abstract.
-, Medical Purveyor, U. S. A. 
                       Form 6.
ACCOUNT OF HOSPITAL STORES, FURNITURE, &c, ISSUED.
Date.	2	s 51) 3 m	a; EH	a* .3		«3	i*	6	4			Remarks.
	Lbs.	Lbs.	Oz.	Qts.	Qts.	Lbs.	&c.	&.C.	&c.			
												
 
                                        Form  7.

ACCOUNT OF CLOTHING, ARMS, EQUIPMENTS, &c, OF PATIENTS IN HOSPITAL.
OS
Date.	£	Names.	Rank.	Regiment or corps.	Com- 1 pany.		0)	0) >	6	3	it C. 0	c*		=5	._			When delivered.
			%		j													
Remarks.
The remarks will
note to whom the
articles were de-
livered ;   what
money,    &c.,
were left by those
who die; and to
whom they were
given. 
                                    Form  8.

ACCOUNT OF FURNITURE, COOKING  UTENSILS,  BEDDING, &c, IN USE.
it V -a «	7i	it s 5	3	c c o a 02	'c

 The remarks will
istate how articles
have been lost,and
jhy whom destroy-
ed, or the persons
suspected, &c.
-a 
a 1 a s b-		Names.
		Rank.
-3		Regiment or corps.
3 "5		Company.
CIS		S* * ! 1
		Admitted.
		Returned to duty.
		Deserted. j
		Discharged from service.
	------------—.....	Sent to general hospital.
^
?3
On furlough.
SWHOtf
8* 
Form  10.
PRESCRIPTION BOOK,  DIET  BOOK,  AND  DIET TABLE
Names.
Sunday.
Monday.
Tuesday.  ' Wednesday.
Thursday.	Friday.	Saturday.
		
		
		
    The spaces in the Prescription Book are to be filled up with the proscriptions at length, the times of administering the medicines
and the quantities to be given at each time.  The diet of the patients will be divided into full, half, and low, to be designated in the
Diet Book by the letters F. H. and L.; and in order that the steward may have precise instructions for delivering the hospital stores
&c., the surgeon will, from time to lime, insert in the Diet Book written directions of the quantity of each article in his store-room
which he may think necessary to  each degree of diet.   To each ten patients,  for example, on low diet, a certain quantity of tea
sugar, &c.  To each ten on half diet, a certain quantity of rice, milk, &c. These proportions will soon become familiar to  the
steward, who has only to refer to the letters in the Diet Book, to ascertain the whole quantity of any article to be delivered  for  the
day, as well as the quantity for each ward.   When any liquor is directed, or any other article not contained in these general instruc-
tions of the surgeon, the precise quantity directed for each patient will be noted in the Diet Book.  The Diet Tables are to be filled
up daily from the Diet Book, and hung up in each ward of a general hospital.
 
50
FORMS.
Station
                      Form

     METEOROLOGICAL
-, Lat.------, Long.------,
Barometer.  Therm, att'd.
Thermometer.
10
11
12
13
14
15
16
17
18
19
20
21

23
24
25
26
27
28
29
30
31
P.M.' A.M. P.M. P.M
Monthly
 mean.
p.m.  mean,  a.m.ip.m. p.m.  mean.
Daily
Hygrometer.
9   Dailv 
MEDICAL DEPARTMENT.
51
No.  11.

REGISTER.

Jilt, of Bar. above -------feet.
7 A. m.   2 p. M.   9 p. M.

D.  I F.   D.  F.   D.  F.
Remarks.
7   2   9  „    r  .„.  Q.uan-
.MJp..M.p.M.l|,5o"a,lEnded   tity. 
52
FORMS.
Form 11.—METEOROLOGICAL
SUMMARY OF  WINDS  AND WEATHER.
N.  ,  N. E.     E.  '' S. E.  Ii   S.   '■  S. W.
W.   j.  N. W.
Z   Q  Z  iC
>.  i § !  £

No. of days ) j    , No. of days )     j No. of days
  FAIR.   j       CLOUDY.  )|    |  Of RAIN.
No. of days of j
   snow.    j 
MEDICAL  DEPARTMENT.
53
REGISTER—Continued.
REMARKS.
  This register is to  be  mailed to the Surgeon General monthly without a letter of
transmittal.  All fractions  are to  be expressed in decimals  carried out two points.
The thermometer and hygrometer, if not connected, will be suspended  side by side.
One third of the sum of the three  daily observations will be  registered  as the  daily
mean. The direction (D.) and force  (F.) of the winds will be expressed in accordance
with existing regulations.  The whole number of times any point of the compass is
recorded during the  month,  gives the " number of observations," and that number
divided by 3 gives the number of days from that point.   The results thus obtained are
to be recorded under " Summary of winds and weather."   Observations on the
weather will be recorded as fair or cloudy; and the number of fair and cloudy days
during the month will be ascertained by dividing the  sum total of each record by 3.
The number of days  on which it rains or snows will be noted separately.
  Surgeon General's Office, March, 1860.
Surgeon U. S. Jlrmy.
                 ( Endorsement.)

Station:

      METEOROLOGICAL  REGISTER

                      FOR THE

           Month of----------, 18----.

Transmitted by
Surgeon U. S. Jlrmy.
Rec'd S. G. Office
; li 
54
FORMS.
                            Form 12.
                   Army of the United States.
                           (Coat of Arms.)
                  Certificate of Disability for Discharge.
  A B, of Captain ------'s company, (—,) of the ---- regiment of
United States------, was enlisted by---------, of the ----regiment
of----■■—, at------, on the----day of------, to serve----years; he
was born in------, in the State of------, is ----years of age,----
feet----inches  high,  ---- complexion, ---- eyes,---- hair, and by
occupation when enlisted ------.  During the  last two months  said
soldier has been unfit for duty----days.
  (The company commander will here add a statement of all the facts
known to him concerning the disease or wound, or  cause of disability
of the soldier; the time, place, manner,  and all the circumstances under
which the injury occurred, or disease originated  or appeared; the duty
or service or situation of  the soldier at the time the injury was received
or disease contracted, or supposed to be contracted; and whatever facts
may aid a judgment as to the cause, immediate or remote, of the  disa-
bility, and the circumstances attending it.)
                                      C D,  Commanding Company.
  (When the facts are not known to the company commander, the certi-
ficate of any officer, or  affidavit of other  person having such knowledge,
will be appended.)  •
  I certify that I have carefully examined the  said------of  Captain
------'s company, and find him incapable of performing the duties of
a soldier because of, (here describe particularly the  disability, wound,
or disease; the extent to which it deprives him  of the use of any limb
or faculty,  or affects  his  health,  strength,  activity,  constitution, or
capacity to  labor or  earn- his  subsistence.)   The Surgeon will  add,
from his knowledge  of  the  facts  and circumstances, and from the
evidence in  the  case, his professional opinion of the cause or origin of
the disability.
                                                   E F, Surgeon.
                            (Duplicates.)
  Notes.—1.  When a probable case  for pension, special care must be taken to state
             the degree of disability.
         2.  The  place where the soldier desires to be addressed may be here added.
            Town—             County—             State— 
                              Form  13.

RECORD OF RECRUITS EXAMINED BY
-, AT
Date.
WHERE BORN.
Town or
county.
State or
kingdom.
By whom en-
   listed.
Remarks.
  The remarks will
state the cause of re-
jecting any who are
examined, &c, &c.
-, Surgeon.
Ox 
                                                  Form  14.

REPORT OF THE SICK AND WOUNDED AT----, FOR THE Q.UARTER ENDING--, 18—.
CLASSES OF

 DISEASES.
Eruptive fevers .
TAKEN SICK OR RECEIVED INTO HOSPITAL DURING THE QUARTER.
Specific diseases
Fcbris Congestiva............
Febris Contiuua Communis...,
Fcbris Intermittens Quotidiana
Fcbris Intermittens Tertiana...
Febris Intermittens Qunrtann .
Febris Ueniittens.............
Fcbris Typhonics............
Febris Typhus...............
Febris Typhus leterodes......
All other diseases of this class

Erysipelas...................
Rubeola.....................
Scarlatina...................
Variola......................
Varioloides...................
All other diseases of this class

Cholera Asiatiea.............
Cholera Morbus..............,
Colica.......................
Constipatio..................
First.
Second.
Third.
Total by each
   disease.
Total by each
   class. 
Diseases of the or-
  gans  connected
  with  the digest-
  ive system.
Diseases of the res-
  piratory system.
Diseases of the cir-
  culatory system.
Diarrhnui Acuta...............
Diarrluea Chronica............
Dyscnteria Acuta..............
Dysenteria Chronica...........
Dyspepsia.....................
Enteritis......................
Gastritis.......................
lla'inatemesis..................
Hepatitis Acuta...............
Hepatitis Chronica............
Icterus........................
Parotitis.......................
Peritonitis....................
Splenitis......................
Tonsillitis.....................
All other diseases of tliis class.

Asthma.......................
Bronchitis Acuta..............
Bronchitis Chronica...........
Catarrluis Epidemicus........
Catarrluis.....................
Hemoptysis...................
Laryngitis....................
Phthisis Pulmonalis...........
Pleuritis.......................
Pneumonia...................
All other diseases of this class .

Ana iniii......................
Aneurisma....................
Angina Pectoris...............
Carditis.......................
Endocarditis...................
Pericarditis...................
Phlebitis......................
Varicocele....................
Varix.........................
All other diseases of this class .
Carry forward 
Form 14—Continued.
C*i
00
CLASSES OF

 DISEASES.
Diseases  of  the
  brain  and ner-
  vous system.
Diseases   of  the
  urinary and gen-
  ital  organs, and-
TAKEN  SICK OR RECEIVED INTO HOSPITAL DURING THE QUARTER.
Month.
Specific diseases.
         Brought forward.
Apoplexia.................
Cephalalgia...............
Cerebritis.................
Chorea...................
Delirium Tremens.........
Epilepsia..................
Ictus Solis................
lrritatio Spinalis...........
Mania.....................
Melancholia......
Meningitis.......
Neuralgia.......,
Paralysis........
Tetanus........
All other diseases
of this class
Rubo Syphiliticum.
Calculus..........
Cystitis...........,
Diabetes..........
Enuresis..........
Gonorrhoea........
Ischuria et Dysuria
Nephritis.........
 
venereal  arte
tions.
  Orchitis.....................
  Sarcocele....................
  Strictura Urethra'.............
  Syphilis Primitiva............
  Syphilis Cnnsccutivu.........
  Ulcus Penis Non Svphiliticuu
[ i All other diseases o'f this class
Diseases  of   the
  serous exhalent
  vessels.
Diseases  of  the
  fibrous and mus-
  cular  structures.
Absccs
  cers.
Anasarca...................
Ascites.....................
Hvdrartlmis.................
Hydrocele..................
Hydrothorax...............
Ail other diseases of this clas
Lumbago....................
Podagra......................
Rheumatisnius Acutus........
Rheumatisuius Chronicus ....
AH other diseases of tliis class
Abscessus...................
Anthrax....................
Fistula......................
Paronychia..................
Phlegmon..................
Ulcus.....................
All other diseases of this clas
Wounds and inju-
Ambustio.........
Conctissio Cerebri.
Coinpressio Cerebri
Contusio..........
Fractura..........
Gelatin...........
Hernia............
Luxatio...........
Morsus Serpentis ..
Punitio...........
Carry forward. 
Form 14—Continued.
OS
o
CLASSES OF

 DISEASES.
Wounds and inju-
  ries.
TAKEN  SICK OR  RECEIVED INTO HOSPITAL  DURING THE QUARTER.
Month.
Specific diseases.
Diseases   of
  eye.
the
Diseas
  ear.
of  the
         Brought forward.......
 Sub-luxatio.....................
 Vulnus Incisum.................
 Vulnus Contusuin vel Laceratuin
 Vulnus Punctum................
 Vulnus Sclopetieum.............
 All other diseases of this class ...

 Amaurosis.......................
 Cataracta.......................
 Hemeralopia....................
 Iritis............................
 Nyctalopia......................
 Ophthalmia  ....................
 Retinitis.........................
 All other diseases of this class...

 Otalgia.........................
 Otitis...........................
 Otorrheea......................
 Surditas........................
All other diseases of this class ...

Anchylosis.....................
Atrophia........................
Total by each
   disease.
Total by each
    class. 
All other diseases.
Bubo Simplex.
Cachexia.....
Debilitas.....
Ebrietas......
Epistaxis......
Exostosis.....
Hiemonhois ..
Hematocele...
Morbi Cutis...
Necrosis......
Nostalgia.....
Odontalgia....
Prolapsus Ani.
Seirrlius.......
Scorbutus .___
Scrofula......
Suicidium
Toxieum......
Tmnores......
Vermes.......
Morbi Varii.
Total. 
      Form 14—Continued.
GENERAL  SUMMARY,
 Remaining
last report
Mean strength.
72 ,-S ,C P ,5
*= ! 4!

S! Si
Months.   j Officers jEnlisted  Tot;ll
               |;  Ratio per 1,(1(10
Number1        i' 0'm('''" strength.
.   .  ,  Deaths.!'---------  -—  -
i! Cases. I Deaths.
O   Ei
Ratio per (jr.
                                                     DIRECTIONS.
    In regard to tliis Report, the utmost punctuality and exactness will be required, and its nomenclature will be strictly observed.
It will be accompanied with  a general Sanitary Report, to be written on alternate pages of foolscap  paper, with a margin of one
inch on  the left side of each page, and to be folded in four equal  folds; in  which the medical officer will  furnish information
respecting all those agencies which may have influenced the sickness and mortality of the troops—such as the medical  topography
of the station ; the climate ; prevalent diseases in the vicinity ; the duty and employment of the troops; the nature of their barrack
and hospital accommodations; diet; water; clothing; and general habits of the men as to  cleanliness, temperance, &c.  Cases of
unusual interest will be reported in detail.   Diseases of women and  children,  if given, must be reported separately.'  No duplicate
of this report is  required.  In consolidated and other monthly  reports  of sick and wounded, the  general  arrangement  and the
nomenclature of this form will be followed. 
MEDICAL  DEPARTMENT.
63
                   Form 14—Continued.

DISCHARGES ON SURGEONS CERTIFICATE, AND DEATHS.
Name.
Disease.
Christian
 name.
 Date of
discharge
  from
 service.
Date of
death.
REMARKS.
    Notes.—Discharges on Surgeon's certificate, and deaths occurring among those
of the command not on sick report, will be also reported, but separated from the
others by a double line drawn  across the  page.  The remarks will in  each  case
specify the manner in which the  disease originated, when it is known.
    In every case of the death of an onicer, whether on  duty or not, a special report
is to be made to the Surgeon General. 
64
      FORMS.

Form 14—Continued.
   ENDORSEMENT.
       REPORT OF SICK AND WOUNDED
                     FOR THE
Quarter ending                                l!^6  *
Station:

                              Surgeon U. S. Army.
                    COMMAND.
Regiments.
Companies. 
                                   Form  15.

MORNING REPORT OF THE SURGEON OF A REGIMENT, POST, OR GARRISON.
Remaining
 at last re-
 port.
Total.
Remarks. 
Form  16.
cr.
Return of the Medical Officers of the  Regular Jlrmy,  Volunteer Corps, and Militia, including Physicians employed
               under contract, serving in the Department of------,for the Month of------, 186—.
/
No.	Names.	Rank.	Post or station.	With what troops serving.	Remarks.
					Surgeon.
    Note—The names will be arranged in the following order,—1st, Medical Officers of the Regular Army ; 2d, Those of Volunteer
Corps and Militia; 3d, Private Physicians.  In the column of "Remarks," will be noted all changes in the position of Medical
Officers and Private Physicians, whether on duty, or on leave of absence ;  giving the number, date, and source of the order directing
or authorizing such change, the time of the departure of the officers from their posts, and  the date of their return to duty.  If to a
new post, its position must be indicated by reference to some known point,—as----miles north from------river, town, or post
office.  The remarks opposite the names of Private Physicians, will state, in addition to the above, the name and rank of the party-
making the contract, the date thereof, the monthly compensation, and the  date of their discharge from service.
    The Medical Directors will require from the  Medical Officers and  Private Physicians in their respective Departments, monthly
reports to enable them to make out and transmit this Return to the Surgeon General. 
MEDICAL DEPARTMENT.
67
                            Form 17.

        CONTRACT WITH A PRIVATE PHYSICIAN.
  This  contract, entered into this----day of------, 18—, at------,
State of------, between---------, of the United  States Army, and
Dr.---------, of------, in  the State of ------,  witnesseth, that  for
the consideration hereafter mentioned, the said Dr.---------promises
and agrees to perform the duties of a medical officer, agreeably to  the
Army Regulations, at------, (and to furnish the  necessary medicines.)
And the said---------promises and  agrees, on behalf  of the United
States, to pay, or cause to be  paid, to the said Dr.---------the sum of
----dollars for each and every month  he  shall continue to perform  the
services above stated, which shall  be his full compensation, and in lieu
of all allowances and emoluments whatsoever, (except that for medicines
furnished, which shall be at the  rate of----per cent, on his monthly pay, to
be determined by the  Surgeon  General.) This contract  to continue  till
determined by the said doctor, or the commanding officer for the time
being, or the Surgeon General.
                                                          [seal.]
  Signed,  sealed, and delivered, )
    in presence of—           $
                                                          [seal.]
  I certify that the number of persons entitled  to medical attendance,
agreeably to regulations, at  ------ is ----, and that  no competent
physician can  be obtained at a lower rate.
                                   ---------, Commanding  Officer. 
r»s
FORMS.
Form 18.
A Monthly Statement of the Hospital Fund at------, for the
                    month of-------, 18—.
Dr. To balance due hospital last month.............................  $0 '  00
        1,532 rations, being whole amount due this month,
            at 9k cents per ration...................................' 145 I  54
Cr. By the following provisions, at contract prices:

        283|  lbs. of pork, at 6 cents per pound.......'$1701
        690   lbs. of fresh beef, at 4 cents per pound..  27 60
      l,612j3g lbs. of flour, at 2 cents per pound.......  32 24j
         10   lbs. of hard bread, at 3g cents per lb...     35
 70   lbs. of rice, at 6 cents per pound.........  4 20
 56   lbs. of coffee, at 9 cents per pound......  504 j
193J£ lbs. of sugar, at 8 cents per pound...... 1551 I
 17g  qrts. of vinegar, at 5 cents per quart....    85|
 15r5g lbs. of candles, at 12 cents per pound...  1 833
 61|  lbs. of soap, at 6 cents  per pound.......j  3 67j
 16ii  qrts. of salt, at 3 cents  per quart.........    50-j;
 12   galls, of molasses, at 28 cents per gal..  3 36

                                          112183
           PURCHASED.
2   pairs of chickens, at 87 £ cts.perpr. $1 75
4   qrts. of milk, at 7 cts. per quart......28
3   doz. oranges, at 25 cts. per dozen. ... 75  2 78
Total expended.........................J........I 114] 96f

  Balance  due this month........................  30  57|
-, Surgeon U. S. Jlrmy
[Date.]


(No letter of transmittal required.) 
MEDICAL  DEPARTMENT.
69
                            Form 19.

            FORM OF A MEDICAL CERTIFICATE.
  --------of the----regiment of------, having applied for a certifi-
cate on which to ground an application for leave of absence, I do hereby
certify that I have carefully examined  this officer, and find that------.
[Here the nature of the disease, wound,  or  disability, is to  be fully
(stated, and the period during which the officer has  suffered under its
effects.]   And  that, in consequence thereof, he is, in my opinion, unfit
for duty.  I further declare my belief that he will not be able to resume
his duties in a less period than------.  [Here state candidly  and  ex-
plicitly the opinion as to the period which will probably elapse before
the officer will  be able to resume his duties.   When there is no reason
to expect a recovery, or when  the prospect of recovery is distant and
uncertain, it must be so stated.]
  Dated at------, this----day of------.
                               Signature of the )____________
                               Medical Officer. $ 
 
APPENDIX. 
 
APPENDIX.
EXTRACTS FROM THE REGULATIONS FOR THE ARMY
                          (Edition of 1857.)
  929.  No officer making returns of property shall drop from his return
any public property as worn out or unserviceable until it has been con-
demned, after proper inspection, and ordered to be so dropped.
  935.  Every officer having public money to account for, and failing to
render his account thereof quarter-yearly, with the vouchers necessary
to its correct and prompt settlement, within three months after the ex-
piration of the quarter, if resident in the United States, and within six
months if resident in a foreign country, will be promptly dismissed by
the President, unless he shall explain the default to the satisfaction of
the President.  (Act January 31, 1823.)
  936. Every officer  entrusted  with public money or property  shall
render all prescribed returns and accounts to  the bureau of the depart-
ment'in which he is serving, where all  such returns and accounts shall
pass through a rigid administrative scrutiny before the money accounts
are transmitted to the proper offices of the Treasury Department for
settlement.
   1043. Officers receiving clothing or camp  and garrison equipage, will
render quarterly returns of it to the Quartermaster General.
   1073. Issues to the hospital will  be on returns by the medical officer,
for such provisions only as are actually required  for the sick and the
attendants.   The cost of such parts of the  ration  as are issued will be
charged to the hospital at contract  or cost prices, and the hospital will
be credited  by the whole number of complete rations due  through the
         10 
74
APPENDIX.
month at contract or cost prices, (see Note 7;) the balance, constituting
the Hospital Fund, or any portion of it, may be expended by the com-
missary, on the requisition of the medical officer,  in  the  purchase of
any article for  the subsistence  or comfort of the  sick, not authorized
to be otherwise furnished, (see Form 3.)  At  large depots or general
hospitals, this fund may be partly expended for the benefit of depen-
dent posts or detachments, on  requisitions approved  by  the Medical
Director or Senior Surgeon of  the district.   On  the  1st  of January,
each year, one fourth of every hospital fund,  if less than $150, and one
half if more, will be dropped by the commissary from the fund,  (Form
3,) and will be paid over to  the Treasurer of the Military Asylum by
the Commissary General.

  1079. An  extra  issue of fifteen  pounds of tallow or ten of  sperm
candles, per month; may be made to the  principal  guard of each camp
and garrison, on the order of the commanding officer.  Extra issues of
soap,  candles,  and vinegar, are permitted to  the  hospital when the
surgeon does not  avail himself of the  commutation  of  the  hospital
rations, or when there  is no hospital fund;  salt,  in small quantities,
may be issuedfor public horses and cattle.  When the officers pf the
Medical Department find anti-scorbutics necessary for the health of the
troops, the commanding officer may order issues  of fresh vegetables,
pickled onions, sourkrout, or molasses, with an extra  quantity of rice
and vinegar.  (Potatoes are usually issued at  the rate of one pound per
ration, and onions at the rate of  three bushels in lieu of one of beans.)
Occasional issues  (extra) of molasses are made—two quarts to one
hundred rations—and of dried  apples of from one to  one and  a half
bushels to one hundred rations.  Troops at sea are recommended  to
draw rice and an extra issue of molasses  in lieu of  beans.   When anti-
scorbutics are issued, the medical officer  will  certify the necessity, and
the circumstances which cause it, upon the abstract of extra issues. 
MEDICAL DEPARTMENT.
75
           EXTRACTS FROM GENERAL ORDERS.

GENERAL ORDERS, }         WAR DEPARTMENT,
      w  .        •              Ad.iitant General's Office,
                  }                  Washington, February 14, 1859.
  The, following Regulations  have been received from the War Depart-
ment, and are  published for the information  and government of all
concerned:
  I...Ambulances will not be  used for any other than the specific pur-
pose for which  they are designed,  viz: the transportation of the sick
and wounded; and those  hereafter provided for the army, will be made
according to a pattern to  be furnished the Quartermaster's Department
by the Surgeon General.
  The spring wagons or carriages now on  hand, as well as those that
may be from time to time procured, will not be resorted  to except on
such extraordinary occasions  as forbid the  employment of the common
baggage wagon, and then only on  the written order of a department
commander or the commander of an army in the field, a copy of which
order will be transmitted  to the Quartermaster General.  The purchase
of this description of conveyance is prohibited, unless specially author-
ized by the War Department.
  11... Paragraph 963 of the Regulations for the Army is so far amended
as to allow the Assistant Adjutant General  at the Head Quarters of the
army, the Assistant Adjutant  General, the Medical  Director and Medi-
cal Purveyor of a  Military Department, one room each as an  office;
and fuel therefor from the 1st of October  to the 30th of April  at the
rate of one cord of wood per  month.

  By order of  the Secretary of War:
                                         S. COOPER,
                                               Mjutant General. 
76
APPENDIX.
 GENERAL ORDERS,)         WAR DEPARTMENT,
                   '             Adjutant General's Office,
      No. 11.      $                     Washington, May 11, 1859
  I...Officers of the Medical and  Pay Departments may, by virtue of
their commissions, command all enlisted men, like  other commissioned
officers.  Paragraph 13, Army Regulations, will not be interpreted to
restrict that authority.

  By order of the Secretary of War:
                                         W. A. NICHOLS,
                                      Assistant Adjutant General.
GENERAL ORDERS, )         WAR DEPARTMENT,
                  \              Adjutant General's Office,
                  )                  Washington, September 22, 1859.
No. 22.
  The following Regulations have been received from the War Depart-
ment, and  are  published for the information and government of all
concerned:
                             War  Department, September 21, 1859.
  1. Boards of Survey will not be resorted to for the condemnation of
public property, but only to establish data by which questions of ad-
ministrative responsibility may  be determined, and the adjustment of
accounts facilitated: such as to assess  the damage which public property
has sustained from any extraordinary cause, not ordinary wear, either
in transit or in store, or in actual use, and to set forth the circumstances
and fix  the responsibility of such  damage, whether  on  the  carrier, or
the person accountable for the  property or having  it immediately in
charge;  to  report from  examination  the circumstances and  amount of
the loss or  deficiency of public property by accident, unusual wastage,
or  otherwise, and fix the responsibility of such loss or deficiency; to
make inventories of property ordered  to be abandoned, when the articles 
MEDICAL DEPARTMENT.
77
have not been enumerated in the orders; to assess the prices at which
damaged clothing may be issued to troops, and the proportion in which
supplies shall be issued in consequence of damage  that renders them at
the usual rate unequal  to the allowance which  the regulations contem-
plate; to verify the  discrepancy between the invoices and the actual
quantity or  description  of  property transferred from  one officer to
another, and ascertain as far as possible where and how the discrepancy
has occurred, whether  in the hands of the carrier or the officer making
the transfer;  and to  make inventories and report  on  the condition of
public property in  the possession of  officers at  the time of their death
The action of the Board for the authorized object will be complete  with
the approval of the commanding officer, but liable to revision by higher
authority.  In no case, however, will the report of the  Board supersede
the depositions which  the law requires with reference  to deficiencies
and damage.
  2. Boards of Survey will not be  convened by any other than the
commanding officer present, and will  be  composed of as many  officers,
not exceeding three, as  may be present for duty, the commanding officer
and the officer responsible in the matter to be reported on being ex-
cluded;  but in case the two  latter only are present, then the  one not
responsible will perform the  duties, and the responsible officer will per-
form them if no other officer is present.  The proceedings of the Board
will be signed by each member, and a copy forwarded by the approving
officer to the head  quarters of the department or army in  the  field, as
the case may be, duplicates being furnished to the officer accountable
for the property.
  3. All surveys and reports having in view the condemnation of public
property, for whatever  cause, will be made by the commanding officers
of posts or other  separate commands,  or  by Inspectors  General, or
inspectors  specially designated by the commander of a department or 
78
APPENDIX.
 an army in the field, or by higher authority.  Such surveys and reports
 having a different object  from those of Boards of Survey, will be re-
 quired independently of any action of a Board on the same property

   4. When public property is received by any officer, he will make a
 careful examination  to ascertain its quality and condition, but without
 breaking packages until issues are to be made, unless  there is cause to
 suppose the contents defective; and in any of the cases supposed in the
 first paragraph, he will apply for a Board of Survey for the purposes
 therein set forth.  If he deem the property unfit for use, and that the
 public interest requires it  to be condemned, he will, in addition, report
 the fact for that purpose  to the commanding officer, who  will make a
 critical  inspection, or cause it to be made by an  Inspector General or
 special  inspector, according to the  nature  of his  command.   If  the
 inspector deem the property fit, it shall be received and  used.   If not,
 he will forward a formal inspection report to the commander empowered
 to give orders in the  case.   The same rule will be observed, according
to the nature  of the case,  with reference  to property already on hand.
The person accountable for the property, or having it in charge, will
submit an  inventory, which  will accompany or  be embodied in   the
inspection report, stating how long the property has been in his posses-
sion, how long in use, and  from whom it was received. The inspector's
report will state the exact condition of each article, and what disposition
it is expedient to make of it: as, to be destroyed, to be dropped as being
of no value, to be broken  up,  to be repacked or repaired, or to be sold.
The inspector  will certify on  his report that he has  examined each
article, and that its condition is as stated. If the commanding officer,
who ordinarily would be  the inspector, is himself accountable for  the
property, the next officer  in  rank present for duty will act as the in-
spector.  The authority of inspection and condemnation will not, with-
out special instructions, extend to commanding officers of arsenals with 
MEDICAL DEPARTMENT.
79
reference to ordnance and ordnance stores, but may in regard to other
unserviceable supplies.

  5. An officer commanding a department, or an army in the field, may
give orders, on the report of  the authorized inspectors, either to sell,
destroy, or make such other disposition of condemned property as the
case may require, excepting with reference to the sale of ordnance and
ordnance stores, for which the orders of the War Department will be
requisite; but if the  property  be of very considerable value, and there
is reason to suppose that it could be advantageously applied or disposed
of elsewhere than within his command, he  will refer the matter to the
Chief of the Staff Department to which it belongs for the orders of the
War Department.   No other persons than those  designated,  or the
General-in-Chief, will order the final disposition of condemned property,
excepting in the case of ordnance and  ordnance stores which are to
be dropped or  broken up, horses which should be killed to  prevent
contagion,  and provisions or other stores which are  deteriorating so
rapidly  as to require  immediate action.  In this last case the inspector
may order  the  destruction or  sale of the stores, and in the other cases
he may  direct the dispositions  above indicated with  reference to them.
The inventories will  be made in duplicate—one  to be retained by the
person accountable, and  the other to accompany his accounts.   When
the action of the inspector has been final, a copy of the inventory will
be forwarded through the Department or other superior head  quarters
to the Chief of the Staff Department  to which the  property  belongs
When the  action of  the Department or other superior commander is
required, the original  inventories will be sent to the head quarters, and
returned with the final orders thereon to the person accountable for the
property, and  a copy of the  inventory and  orders will be forwarded
from the Department or other superior head quarters to the  Chief of
the  Staff Department to which they relate. 
8<>
APPENDIX.
  6. Every inspector, member of a Board of Survey, and commander
acting on their proceedings, shall be  answerable that  his  action has
been proper and judicious, according to the Regulations and the circum-
stances of the case.
  7. As far as practicable, every officer in charge of public property,
whether it be in use or in store, will endeavor by timely  repairs to keep
it in serviceable condition, for which purpose the  necessary means will
be allowed on satisfactory requisitions; and property in store so repaired
will be issued for further use.  Unserviceable arms will  be sent to an
arsenal for repair, before .accumulating in excess of the surplus arms in
the company.  Provisions and other perishable stores will be repacked
whenever it may be necessary for their  preservation and their value
will justify the expense, which will be  a legitimate charge against the
department to which they belong.  Public animals  will  not  be con-
demned for temporary disease or want of condition, but  may, by order
of the  commanding officer, after inspection be  turned in  for rest and
treatment, if unfit for service for which  they are immediately required.
  8.  Only one interior source of supply—that immediately connected
with the head quarters—will be permitted with a post or other embodied
command.  This  last will  not be  interpreted  to  mean  a battalion or
other minor organization forming part of a garrison or other body of
troops, excepting when  the minor command is  detached and  serving
separately; and in that case, when  the  detached  portion returns to the
main body, the supplies in the charge of its staff officers will be turned
over to the proper staff officers of the whole.  No public property shall
be transferred to or retained in a company, which does  not properly
form part of its equipment; nor shall any officer have public property
in his possession unless regularly on staff duty by  order of the  com-
manding officer, or unless the charge of it is devolved on him by the
Regulations of the Army, from the nature of his position. 
MEDICAL DEPARTMENT.
81
  9.  Public property shall not be  transferred gratuitously from one
staff department to another; but when offered for sale, and required for
the public service in another staff department in which its use is allowed
by Regulations, it may be bid in on  the  order of  the  commanding
officer, or purchased at a fair valuation, to be determined by a Board
of Survey,  if there should be no other bidder.
   10. Paragraph 926, Army Regulations, and so much of any previous
orders or regulations as conflicts with the foregoing, are rescinded.
                                        JOHN B. FLOYD,
                                                Secretary of  War.
   By order of the Secretary of War:
                                         E. D. TOWNSEND,
                                     Assistant Adjutant  General.
GENERAL ORDERS, )         WAR DEPARTMENT,
                 (              Adjutant General's Office,
      No* L      )                   Washington, January 19, 1860
  I...The following Report of the Army Medical Board, constituted by
War Department Special Orders No. 195, current series, " to examine,
select, and report such models " of ambulances "as it may think most
suitable " for the army; and to  " examine the presejit Standard Supply
Table with reference to field service," is published for the information
of the army:
                           REPORT.
  The Board,  consisting  of Surgeons C. A.  Finley; R. S. Satterlee;
C. S. Tripler;  J. M. Cuyler, and Assistant Surgeon R. H. Coolidge,
convened in this city on the  1st instant, and has continued in  session
daily to this date; all the members being present each day.
  The duty first completed by the Board  was that of examining  the
" Standard Supply Table " with reference to field service.
           11 
82
APPENDIX.
  After very careful and repeated examinations of that table, consider-
ing each article seriatim, determining the periods for which issues
should be made in active field operations, deciding upon the articles to
be furnished, and apportioning the quantities to  regiments, battalions,
and companies, the  Board prepared the table hereto annexed, entitled
" Supply Table for  Field Service," the adoption of which is earnestly
recommended.
  In view of the  improvements that have been  made in the Materia
Medica since the last formal revision of the Standard Supply Table, in
1849, the Board considered it expedient to revise that table and to make
corresponding changes therein.
  The  results  of that revision are embodied in  the paper hereto  an-
nexed, endorsed " Proposed changes in the Standard Supply Table for
General and Post Hospitals," and in the printed sheet marked " Stand-
ard Supply Table for General and Post Hospitals."
  An examination of the proposed " Supply Table for Field Service "
will show that many articles in  the present Supply Table have been
excluded, and the quantities of others lessened; the desire of the Board
being to exclude every article not  essential in the field; to diminish the
bulk and weight  of supplies, and to  have them, so  far as possible,
packed systematically in medicine chests, panniers  and knapsacks, so
as to be accessible at all times.
  Surgeon Charles McDougall having reported in obedience to instruc-
tions from  the  War Department of November 8, 1859, for temporary
duty as a member of the Board  " to select a model ambulance for the
army," the Board, with this  additional member  present, proceeded to
the consideration of that subject.
  All previous proceedings of the Board, as originally constituted, in
relation to ambulances, were read  for the  information of the new mem-
ber, Surgeon Charles McDougall.
  The Board then proceeded to  examine the models and  drawings of 
MEDICAL DEPARTMENT.
83
ambulances which had been  presented for that purpose, and for the
details of which reference is made to the proceedings and accompanying
papers.
  The following are the decisions and recommendations of the Board:
  1.  That ambulance  transportation ought to be furnished for 40 men
per 1,000—20 lying extended and 20 sitting.
  2.  That both two and four-wheeled ambulances are necessary for the
hospital service.
  3.  That a two-wheeled ambulance is the best for the conveyance of
dangerously sick or dangerously wounded men.
  4.  The Board being of opinion  that both of the two-wheeled ambu-
lances submitted to its inspection by Surgeon C. A. Finley and Assistant
Surgeon  R. H. Coolidge are well adapted to the purposes for which
they  were  designed, and  that their relative merits  can only be deter
mined by experiment, adopt both, and recommend  that one of each
pattern be sent to  the respective Military Departments of Texas, New
Mexico, Utah, California, and Oregon, and two of each pattern to Fort
Leavenworth, and that they be placed in service at the scenes of Indian
hostilities, and on marches across the plains, in order that their practical
advantages may be ascertained.
  5. As the pattern of a four-wheeled ambulance designed by Surgeon
Tripler, in the opinion of the Board, meets more fully the requirements
of the service for the transportation of the slightly wounded, the slightly
sick, and convalescent, than any other pattern that has been submitted,
the Board decide to adopt it, and recommend that three be constructed,
and  that one  be  sent to the  Department of Texas, one to the Depart-
ment of New Mexico, and one to Fort Leavenworth in the Department
of the West, for trial in active service.
   6.  That of the  two patterns of mattress frames presented for exam-
ination by Assistant Surgeon  Coolidge, the  one without the box be
adopted for trial. 
81
APPENDIX.
  The service of Surgeon McDougall as a member of this Board being
confined  " to the  consideration of the subject of a pattern ambulance
only," and that duty having been performed, Surgeon McDougall was
relieved and returned to his post.
  The Board, as originally constituted, then proceeded  to the consider-
ation of the amount and kind of transportation required for the sick and
wounded, and for hospital supplies; the allowance of hospital stewards,
cooks, and nurses; and also the nature  and extent of tent  accommo-
dation for troops  on marches and in campaigns against Indians, and
for a state of war  with a civilized enemy.
  The following are the decisions and recommendations of the Board:
  1st. The Board recommend that  the following amount and kind of
transportation for the sick and  wounded  be provided  for  troops on
marches and in campaigns against Indians:
  For commands  of less than five companies, to each  company one
two-wheeled ambulance.
  For a  battalion of five companies, one four-wheeled and  five two-
wheeled ambulances.
  For a regiment, two four-wheeled and ten two-wheeled ambulances.
  2d.  The Board, anxious  to provide for the necessities and to secure
the comfort of the sick and wounded soldiers to  the fullest extent under
all circumstances,  recommend that the following schedule of transports
for the sick and wounded, and for  hospital supplies, be adopted for  a
state of war with  a civilized enemy:
  For commands of less than three companies, one two-wheeled trans-
port cart  for hospital supplies, and to each company one two-wheeled
ambulance.
  For commands of more than three and less than five companies, two
K.o-wheeled transport  carts, and to  each  company one two-wheeled
ambulance.
  For a  battalion of five companies, one four-wheeled ambulance, five 
MEDICAL DEPARTMENT.
85
two-wheeled ambulances,  and two two-wheeled transport carts.   For
each additional company less than ten, one two-wheeled transport cart.
  For a regiment, two four-wheeled ambulances, ten two-wheeled  am-
bulances, and four two-wheeled transport carts.
  And that the transport  carts be made after the  models of the two-
wheeled ambulances, (their interior arrangement for the sick excepted,)
and to have solid board flooring to the body.
  The Board also resolved: That horse-litters be prepared and furnishsd
to posts whence they may  be required for service on ground not admit-
ting the employment of two-wheeled carriages; said litters to  be com-
posed of a canvass  bed similar to the  present stretcher, and of  two
poles, each sixteen  feet long, to be made in sections, with head  and
foot pieces constructed to act as stretchers to keep the poles apart.
  3d. The Board also recommend that the allowance of hospital attend-
ants for a regiment in the  field be, for one company, one  steward, one
nurse, and one cook; for each additional company, one nurse; and for
commands of over five companies, one additional cook.
  4th. The great size and  weight of the present hospital  tent render it
objectionable  in  view of its transportation,  and make it difficult  and
ofttimes impossible to pitch it on prairies and in high winds. The  Board
does therefore recommend  that in future  hospital tents be  made accord-
ing to the pattern of the  present tent and of the  same material, but
smaller, and having  on  one  end a lapel so as to admit of two or more
tents being joined and  thrown  into one with a continuous covering or
roof.
  The dimensions to be these: In length, 14 feet; in width, 15 feet; in
height, (centre,) 11 feet, with a wall 4| feet, and a " fly " of appropriate
size.   The ridge pole to be made in  two  sections after the present
pattern, and to measure  14 feet when joined.
  The Board  contemplate  that such a tent will accommodate from 8 to
10 patients comfortably. 
86
APPENDIX.
  The Board recommend  the following allowance of tents for the sick,
their attendants, and hospital supplies:
Commands.	Hospital tents.	Sibley tents.	Common tents.
	"i 2 2 3	1 1 1 1 1	
			
			
			
			
			
  The Board also recommend the adoption of a hospital knapsack, to
be carried by a hospital orderly upon the march  or in battle, who is
habitually to follow  the medical officer.  The knapsack to  be made of
light wood; to be divided into four compartments or drawers, and to be
covered with canvass after Colonel Buchanan's model knapsack, if that
be adopted in the army.   The  purpose  of this knapsack is to carry
in an accessible shape such instruments, dressings, and medicines, as
may be needed in an emergency on the  march or in the field.  The
dimensions of the hospital knapsack to  be those  of the ordinary
knapsack.
  The Board respectfully request that one of each of the ambulances
recommended for trial, be made under the  immediate supervision of the
officer by whom it was designed.
  Washington, D. C,
            November 23, 1859.
  [Here followed the present Standard Supply Tables.]

  II...The above report and proposed Supply Tables are approved and
adopted, and will be observed by all concerned; and existing Genera]
Regulations  are modified so as to conform to the same.  The  tables
contain all the articles to be purchased by medical purveyors, except 
                    MEDICAL  DEPARTMENT.                 87

on the orders of the Surgeon  General; but any less quantity may be
required or any article omitted at the discretion of the medical officer.
  The transfer of the surgical instruments issued to each medical officer
for his personal use, is positively forbidden.   Those instruments will
be accounted for to the  Surgeon General  on the  31st day of December,
annually, in a special return, in which the true  condition of each must
be stated; and  if any be lost  or damaged, a report of the facts and
circumstances attending such loss or damage must be given.

  By order of the Secretary of War:
                                        S.  COOPER,
                                              Adjutant General.
                     CORRESPONDENCE.
  The Surgeon General directs that official letters addressed to him by
medical officers of the army, be written  on letter paper  (quarto post)
whenever practicable, and not on note or foolscap paper.  Also, that
the letter be folded in three equal folds parallel  with the writing, and
endorsed on that fold which corresponds with  the top  of  the  sheet;
thus:
(Post or station and date of letter.)
(Name and rank of writer.)
(Analysis of contents.)
  Correction.—Page 10, paragraph 28, for "He," read The senior
medical officer. 
 
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