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GENERAL ORDERS, i          WAR DEPARTMENT,
                 (              Adjutant General's Orvu ■■•,
     N„. 41.      <)                  Washington, July 1-2,  1 *■"> 1-
  I.. .The following regulations and modifications of existing regula-
tions are  published for the information and government of all con-
cerned.
  1...A11 officers of the (Quartermaster's  Department, and of other
corps, regiments or.companies, having in their p§sSessioTr-or-clmrg'*.
public horses, mules,  or  oxen, wagons and harness ; saddles and
bridles and other horse equipments, pertaining to the Quartermaster's
Department, will at the end of each month, make and transmit to  the
Quartermaster General, a  return of them agreeably to  such form as
may be prescribed by that Department.;
  2.. .All officers of .the Quartermaster's Department an/1 otliers act-
ing in it, shall make out and transmit to  the Quartermaster General,
at the end of each month, a report of the  horses, mules, or oxen,
for which they have issued forage during the month, whether belong-
ing to the public or to individual  officers—showing the cost of  the
forage, and how procured, agreeably to such form as may be pre-
scribed by that Department.
  3..  .Paragraphs 1033 and  1034, article 77,  and paragraph  1189,
article 79, General Regulations, (1841) are so modified that the semi-
annual returns therein directed, shall hereafter be rendered on the 31s/
i.f December, and 30th of June, of each year.
   Paragraph 1187"is also so modified, that the requisitions for sup-
plies therein  directed from the " Posts on the upper Lakes, upper
Mississippi, and those west of that river," shall .hereafter be made on.
the 30th of June, annually.
   II... All officers doing duty in  the Quartermaster's Department,
and all Colonels or Commanding Officers of Regiments, will immedi-
ately make and transmit to the Quartermaster General, a return of all
public property in their possession, (see pars. 1033 and 1034 General
Regulations,) for the half year ending June 30,  18j1.
    By Ordku of the Secretary of War:

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REGULATIONS
U.S. ,
MEDICAL DEPARTMENT
THE ARMY.
IU> 
(
• 
CONTENTS.
                                                    Paragraph.
Surgeon General..........................................   1
Medical Directors..........................................   9
Medical Purveyors.........................................  17
Surgeons of General Hospitals..............................  21
Assistant Surgeons of  General Hospitals.....................  30
Hospital Stewards.........................................  36
Wardmasters.............................................  38
Surgeons of Regiments.....................................  41
Assistant Surgeons of  Regiments............................  46
Surgeons of Posts.........................................  48
Steward and Wardmasters of Regiments and Posts............  50
Reports, Requisitions and Returns...........................  51
Medical Board............................................  66
General.......,..........................................  72
Private Physicians.........................................  88
                                                       Page.
Supply Table.............................................  30
Meteorological Observations................................  34
Forms............?......................;...............  43
\ 
\> 
                  REGULATIONS
                         FOR THE

MEDICAL   DEPARTMENT.
                                    Surgeon  General.
               l...The Surgeon General is stationed at the city of Washington,
             and  is, under the direction of the Secretary of War, charged with
             the administrative details  of  the  Medical Department, and has the'
             complete control  of all the officers belonging to  it.   He will assign
             the Surgeons and Assistant Surgeons to regiments, posts, or stations*
             and will issue all  orders and instructions relating to their professional
             duties ; and all communications from them, which may require the
             action  of  the Secretary of War  or the General commanding the
             Army, will be made direct to him.
               2.. .All  claims for medical services rendered, or medical supplied
             furnished to the Army, and all disbursements made on account of the
             Medical Department, will be submitted to him for examination and
             approval.
               3...He  will  furnish  estimates  of all  expenditures, and regulate
             the transmission  of all  funds for his department.  H^ will  require
             from the  Medical Purveyors quarterly accounts current of moneys
             received and expended by them, with estimates of the funds required
             for the ensuing quarter ; and returns of articles received and  issued,
             with duplicates of the invoices of all supplies put up  for, and de-
             livered or forwarded to, the several Surgeons and Assistant Surgeons
             of the Army and the private physicians employed.
*              4.. .He will  examine the returns and accounts of the Medical Pur-
             veyors, Surgeons, and Assistant Surgeons ; see that proper vouchers
             are sent for articles purchased and issued, and that the quantities ex-
             pended with the sick are according to the number  on the sick reports,
             and the nature of  their complaints, and transmit them to the office of the
             proper accounting officer of the Treasury for final settlement.  If he
             do not  receive  proper vouchers for issues, and satisfactory evidence
             that  articles so  reported have been lost or destroyed  by unavoidable
                             2
I 
 8                  MEDICAL REGULATIONS.

accident, or if, upon comparing the returns with the reports of sick,
there appears to  have been any improper expenditures of medicines or
stores, either in  quantity  or quality, he will  require an  explanation
thereof from the person making the return, and, if necessary instruct
the Medical Director to examine the books and accounts  of said per-
son, and  to ascertain  how and why such expenditures  have been
made; and the amount of  any articles proven to have been improper-
ly applied,  will  be charged to the account of the person who has
thus misapplied them.
  5...He will require'from Medical Directors of armies, districts,
and departments, reports relative to the condition of the hospitals un-
der their charge ; the character and conduct of the Surgeons and  Assis-
tant Surgeons ; the state of their books, accounts, and supplies ; the med-
ical topography of the several posts and stations ; the nature of the pre-
vailing complaints, their probable causes, and  the treatment adopted.
  6.. .He will require  from every Surgeon, and Assistant performing
 the  duties of Surgeon, quarterly reports of sick and wounded, with
such remarks as  may be necessary to explain the nature of the diseases
of the troops, the practice adopted, and the medicines and stores required.
  7...He will require from  every Surgeon and Assistant Surgeon,
having charge of public property of any description for the use of the
sick, duplicate semi-annual returns of the same, and also duplicate an-
nual requisitions for the supplies required for each hospital, regiment,
post, or garrison, for the ensuing year ; and transmit them, with his in-
structions, to the Medical Purveyors.
  8.. .He will, from time to time, inspect the several hospitals, and
make to the Secretary of  War, such reports and returns  as may be
necessary to explain all the  concerns of  the  department under his
charge; with such remarks relative to improvements in practice and
police, and to the clothing, subsistence, &c. of the army, as may seem
to be requisite for  the preservation of health,  the comfort  and  re-
covery of the sick, and the good of the public service.
                      Medical  Director.
  9.. .The senior medical  officer on duty with an army corps  in the
field, is, ex officio, the Medical Director of that army, and he will have
the general control of the medical officers, and the superintendence of
the hospital  under their charge. 
                     MEDICAL REGULATIONS.                   g

   10.. .The Medical Director will inspect  the hospitals  under his
 charge ; ascertain the manner in which each officer performs his duties ;
 see that the necessary supplies are received for the sick, that they are
 of good quality, and properly expended; enforce the  rules and reg-
 ulations given for the government and direction of the Surgeons and
 Assistant Surgeons ; and examine,  and if he approve, countersign,
 all extra requisitions for medical supplies.
   11___He will strictly examine the case  books, prescription books,
 and  diet books of the Surgeons  and Assistant Surgeons,  and from
 them ascertain the nature of the diseases that  have prevailed ; their
 symptoms ; the practice adopted ; and the result; and hence judge of
 the professional abilities of the attending Surgeon, and ascertain that
 the quantity and quality of the  stores and medicines  used, are con-
 formable to the nature and duration  of the complaints.
   12.. .From an examination of the book containing the diary of the
 weather, medical topography of the station or hospital, account of the
 climate, complaints prevalent in the vicinity, &c, and from suitable
 inquiries concerning  the  clothing, subsistence, quarters, &c, of the
 men, he will discover as far  as  practicable,  the probable  causes  of
 disease ; recommend the  best method of prevention ; and also make
 such suggestions relative to the situation, construction, and economy
 of the hospitals, as may appear necessary for the benefit and comfort
 of the -sick, and the good  of the service.
   13.. .He will examine the books and accounts of the Steward ;  see
 that his issues of hospital  stores and  furniture agree with the diet
 books and written orders of  the Surgeons and Assistant  Surgeons,
 and  that he has kept a correct account of the rations drawn, agreea-
 bly to the register  and muster rolls of the hospital ; ascertain, also,
 that  the Wardmaster keeps a strict account of the bedding,  furniture,
 cooking utensils, &c, received for the use of the hospital; of the arti-
 cles  lost, worn  out, or destroyed by  order ; and also of the clothing,
 arms, and equipments of every  patient admitted, and that they  are
 disposed of agreeably to the regulations on that subject; and that he
 pays due attention to  enforcing the police prescribed, and to  the order
 and cleanliness of the patients, wards, and kitchens.
   14.. .He will transmit to  the Surgeon General a monthly return of
all the medical officers of the regular army, volunteer corps, or militia,
including private physicians serving with the army, specifying the par- 
JO                 MEDICAL REGULATIONS.

ticular regiment, post, station, &c, &c, to which each medical officeror
private  physician  is assigned to duty, and  likewise reporting  any
transfers or changes of position that may have been made within the
month.
   15...He will  require from  the  medical  officers serving with the
army, monthly reports of sick and wounded, giving the christian and
surname, rank, regiment, and company of those who  die or are dis-
charged from the service on surgeon's certificate, describing, particu-
larly, the nature of their complaints, and stating in each case, whether
or not, the disease  originated while the soldier was in the line of duty;
and upon these data he will prepare a consolidated monthly report,
and transmit the same to the Surgeon General.
   16.. .He will make to the Surgeon General, at such times as he may
direct, reports containing all the information  he may obtain concern-
ing the character, conduct,  and attention to duty, of the several Sur-
geons and Assistant Surgeons ;  the order and condition  of their
hospitals ; and the  state of  their books, accounts, and  supplies ; with
such remarks relative to the causes of diseases, the  best  means of
preventing them, their symptoms,  and  the  treatment adopted, as ap-
pertain  to the report of a medical inspecting officer.
                      Medical Purveyors.
   17...The  Medical Purveyors  will,  under  the  direction of the
Surgeon General, cause  suitable medicine-chests to be constructed and
furnished to the several  hospitals, regiments, posts, and garrisons, and
purchase alii medicines,  hospital stores, bedding, surgical and other
instruments, books, stationery, and dressings, required for the Medical
Department of the Army, which will be carefully packed under their
direction, and delivered either to the  Surgeons,  or  to a  Military
Storekeeper,  or to  a Quartermaster, for transportation to  the places
of their destination and use ; and all packages will  be  legibly marked
with the  name of  the  place to which  they are to  be sent, or of the
regiment or corps for which they are intended, and accompanied with
an invoice of the articles contained in them.
   18.. .They will  make no issues  but upon the annual requisitions or
estimates received  from  the Surgeon General, or on requisitions coun-
tersigned by a Medical Director,  except in  extraordinary cases, as
the marching of a  detachment, the arrival of a greater number  of men
at a post than had been estimated  for, the loss or miscarriage of any 
MEDICAL REGULATIONS.
11
articles, unusual expenditure from a sickly season ; which issues will
be regulated by the standard supply table, and made upon the requi-
sition  of the  attending  Surgeon, approved by the  commanding
officer.                       *
   19.. .They will forward to the Surgeon General quarterly accounts
current of moneys received  and expended by them,  the vouchers for
which will be accompanied  with a i   lificate that the services  have
been rendered, or that the supplies have been purchased by their order,
and received by  them on account of the Medical Department of the
army ; and also  transmit an  estimate of the funds  required for the
ensuing quarter.
   20.. .They will make duplicate quarterly returns to the Surgeon
General of all supplies received and issued by them, and of the articles
remaining on hand ; and transmit duplicates of the invoices of all issues
to the Surgeons and Assistant Surgeons, accompanied with the receipt
of a Surgeon  for the articles, or of a Military Storekeeper, or officer
of the Quartermaster's Department, for the several packages containing
them.
                 Surgeons  of General Hospitals.

   21.. .The Surgeon of a General Hospital will observe the instruc-
 tions of the Medical  Director  in every thing relating to the hospital
 under his charge ; superintend its government, and police ; and be held
 responsible  for the manner in which the subordinate officers perform
 their respective duties.
   22.. .He will  keep a register (Form 1) of all  patients admitted into
 his hospital, and will receive, and carefully preserve, the descriptive
 list of each  individual;  noting  on  it  any  payments  made,  or
 clothing issued  to him, while  in hospital. Should any Surgeon  or
 Assistant Surgeon send patients to his hospital without the report re-
 quired  by regulations,  and certified copies of their descriptive lists ;
 or, should they be sent by any officer of the line, without their des-
 criptive lists,  he will forthwith require them ; and  if not sent within
 a reasonable  time, or some good cause assigned for the neglect, he
 will immediately apply to  the commanding officer  for the arrest of
 such delinquent, on the charge of disobedience of orders.
    23...He will keep  a case book,  prescription book, and diet book,
 (Form 2,) in which will be daily recorded the symptoms in every im,- 
 12                  MEDICAL REGULATIONS.

 portant case, together with  the  medicines and diet prescribed;  and
 these shall serve as a guide to the Assistant Surgeon in delivering the
 medicines; to the Steward in distributing the stores; and for the in-
 formation of the Medical Inspector^ He will keep a diary of the
 weather, (Forins 3 and 4,) noting every fact of importance relating to
 the medical topography of his station; the climate; complaints preva-
 lent in the vicinity, &c; and an order and letter book, in which will
 be  transcribed all orders  concerning, or  any ways relating  to  the
 Medical Department.  He will also preserve copies of his annual re-
 quisition, semi-annual  returns, and quarterly reports  of sick and
 wounded; and of all orders, and all communications written or received
 by  him, in  any way connected with  his official  duties at the post;
 which, with  his hospital books, will be delivered to the officer or per-
 son who may relieve him.
  24.. .He will distribute his patients into convenient divisions, which
 will be assigned to the  particular  charge of the several Assistant
 Surgeons, and every morning, at as early an hour as practicable, visit
 each division, prescribe  himself in all important  cases, and  consult
 with the attending Surgeon; and in the evening inquire of the resident
 Surgeon the  state of the  sick, and again visit such  as  may  require
 particular attention.
  25.. .He will, as far as practicable, assign appropriate wards to his
 patients, according to the  nature of their complaints; be careful  that
they are well ventilated, and  the patients  not too much crowded; by
 a rigid attention to police prevent, if possible, the origin of contagion;
 and, should it appear, make  every exertion  to counteract it, by re-
 moving his patients to more extensive and airy apartments, enforcing
 personal cleanliness, and by frequent changes of linen, bedding, &c.
  26.. .He will prescribe  such rules and  regulations as he may deem
 necessary for the direction of the attendants, and the order, cleanliness,
 and convenience of  his patients;  and cause them to be printed, or
 written in a legible hand,  and hung up in some conspicuous  place in
 each ward.
  27.. .He will, from the descriptive lists in his possession, make re-
gular muster rolls of the patients  in  his  hospital,  and also of his
 stewards, wardmasters, cooks, nurses, and matrons, (Forms 5 and 6,) for
 the examination and certificate of the inspecting officer, as in other
pases of muster and inspection for payment. 
MEDICAL REGULATIONS.
13
  28...He will see that his Steward makes  out  correct returns for
rations, according to the number of patients and  attendants present;
direct what part of the ration shall be retained; and sign the requisitions.
In lieu of the rations or parts of rations retained, he will make requi-
sitions upon the Assistant Commissary of Subsistence, for such sup-
plies of vegetables, milk, groceries, or other articles of~diet, as he may
think necessary for the use of the sick: Provided, That the cost of the
articles so purchased, do not exceed the value of the rations  and
parts retained,  at the contract price at the post or station.
  29...He will,  once  a month, examine the books and accounts of
his Steward and  Wardmaster; see that the hospital  stores have been
properly  applied; that the  arms,  clothing, and  equipments of the
patients  are cleaned, numbered, marked, registered, and deposited in
the Wardmaster's  room; and  that a regular account is kept of the
furniture, bedding, &c. in use in the hospital; and if any attendant or
patient shall be  convicted of wilfully destroying or  purloining any
article of public property, the amount of its value will be charged to
him by the Surgeon on his descriptive list, and deducted from his pay
at the next payment; and it will be the duty of the Surgeon to prose-
cute  any citizen who may  buy  or  receive public  property of any
description, from any one attached to the army, agreeably to the law
on that subject.
           Assistant  Surgeons of General Hospitals.
   30.. .The Assistant Surgeons will  obey the orders and instructions
of  the senior Surgeon; see that subordinate  officers  attend strictly to
their duties, and aid in enforcing the  regulations of the hospital.
   31...Each Assistant will  accompany the  Surgeon  in his morning
visit to the wards assigned to his particular charge; make the proper
entries in the  case  book, prescription book, and diet  book, and  from
the latter fill up the diet table for the day; in the evening, he will again
visit his wards, and if necessary, report to the Surgeon.
   32.. .He will be responsible for the proper distribution and admin-
istration of the  medicines prescribed; for the  manner  in which the
Wardmaster and nurses perform their duties in his own division; and
that the patients  conform to  the prescribed regulations.
   33^.. .One of the Assistant Surgeons will be detailed daily to reside
within or near the hospital, at all hours of the day and night; he will 
 14                 MEDICAL REGULATIONS.

prescribe in urgent cases ;  examine such  patients as may be sent to
the hospital; see that they are entered in the register ;  that their de-
scriptive lists are filed, and, if they do not bring them, report it forth-
with to the Surgeon ; that the Wardmaster takes charge of their cloth-
ing, arms  and equipments ; that they are  washed, furnished with
clean garments, and placed in their appropriate wards ;  and report to
the Surgeon next morning, and immediately in important cases.   He
will make the  proper entries in the book containing  the diary of the
weather ;  and as police officer of the day, see that all the orders and
regulations of the hospital are duly attended  to.
  34.. .One of the Assistant Surgeons will take  charge  of the books
of the hospital, viz : the register, case book, prescription book, and
diet book, that containing the diary of the weather, and the order and
letter book ; and call at the office of the Adjutant General every day,
or as often as may be convenient, and transcribe all orders relating to
the  Medical Department.  He  will also take  charge of the descriptive
lists of the patients, and have them regularly filed according to their
companies and regiments or corps.
  35.. .One Assistant Surgeon will take particular charge of the dis-
pensary, instruments, and  medicines ; keep  an account of expendi-
tures, agreeably to the prescription book ; make out  the semi-annual
returns of medicines,  instruments, stores, rfec., and  present them to
the  Surgeon for his examination and signature.
                      Hospital Stewards.
  36.. .The Steward will receive and take charge of all hospital stores,
furniture of every description, and supplies  purchased for the use of
the  sick ; keep a  roster  of  the nurses and attendants, and from this
and the register make out returns for rations  according to the number
in hospital, and present them to the Surgeon  for his examination and
signature ; receive and  distribute  the rations ; and submit his books
and  accounts  to  the Surgeon  for examination at the  end  of  each
month, or oftener if required.
  37...He will  issue the hospital stores and other supplies to  the
cooks and  nurses, and enter in  a book, daily,  the  amount of each
article delivered, (Form 7) for which the diet book and written orders
of the Surgeon and Assistant Surgeons will be his vouchers. He will de-
liver to the Wardmaster such articles of bedding, furniture, cooking 
MEDICAL REGULATIONS.
15
utensils, &c, as shall, by written  orders, be directed for the use of
the hospital; be responsible for the  order and neatness of the store-
room ; and on no account allow any of the patients  or attendants to
enter it in his absence, or to remain  there longer than may be neces-
sary to obtain their supplies.

                        Wardmasters.
   38.. .The Wardmaster will, on  the admission of a patient into the
hospital, take charge of his clothing, arms, and equipments ; see that
they are perfectly cleaned ; that they are registered in a book, which
he shall keep for that purpose, (Form 8,) numbered,  labelled with the
name, rank, company, and regiment or corps of the owner, and de-
posited in  an appropriate apartment ;  and, in case of his  death, he
will deliver to the Surgeon an inventory of the above named articles,
together with any money and effects left by him.
   39...He will receive  from the Steward all the furniture, bedding,
cooking utensils, &c, required for the use of the hospital, and be held
responsible for them ; and will keep a  book, (Form 9,) in which will
be recorded the articles distributed to the several wards and kitchens,
holding the nurses and  cooks responsible for whatever  he may de-
liver them.   He will, once a week, take an inventory of every thing
in use, and report to the Surgeon whatever is missing, worn out, or
destroyed by order ;  and also the name of any patient  or attendant
whom he may suspect of wilfully destroying or purloining any spe-
cies of public property.
   40...The cooks, nurses, and  attendants, will  be under his  imme-
diate direction, and subject to his orders.   He is responsible for the
cleanliness of the patients and attendants ; of the kitchens, wards, fur-
niture and cooking utensils ;  he will call the roll  of the wards at sun-
rise and sunset, and report absentees ;  see that every patient is wash-
ed and his hair combed  every morning ;  and that he  is shaved,  when
his case will  permit, at least thrice a week ; that the  wards are swept
and sanded, and  the  beds made, before the  time of the morning visit
of the Surgeon ; that the close-stools and  spit-boxes are made perfect-
ly clean every morning, and the  pans emptied and washed  imme-
diately after being used,  and partly filled  with powdered charcoal and
water ; that the beds and bedding are frequently  aired and exposed to
the sun, and  the straw changed once a month, or  oftener if necessary ;
             3 
 IQ                  MEDICAL REGULATIONS.

 and when a patient dies, that the straw is burned, the bunk, bed-sack,
 and bedding cleansed, and returned to the Steward, if not required in
 the hospital.

                    Surgeons of Regiments.

   41.. .The Surgeon  of a regiment will obey the  instructions of the
 Medical Director ; be responsible  for the order  and neatness of his
 hospital, for the manner in which the Assistant Surgeons and attend-
 ants perform their respective duties, and for the comfort and conve-
 nience of those sick in quarters.
   42.. .He will observe all the regulations given for the Surgeon of a
 general hospital, in relation to the register,  case  book, prescription
 book, diet book, order and letter book, and that containing a diary of
 the weather, and to preserving copies  of his  reports, returns, requi-
 sitions, &c. and also all those respecting the ventilation of his hospital;
 preventing or  obviating the  effects of contagion;  prescribing suitable
 police regulations; making out muster rolls of his nurses and atten-
 dants; signing requisitions for rations, directing  what part shall be
 retained; making returns for vegetables, milk, &c; examining the re-
 turns, books, and accounts of his Steward and Wardmaster.
   43...He will receive written morning reports  of  sick, from  the
 Orderly Sergeant of each company, who will see that those reported
 present themselves at the place appointed by the Surgeon, and be pre-
 sent himself at their examination.  He will  immediately  report all
 cases  of feigned sickness  to the commanding officers of companies;
 prescribe for those who are able to remain in quarters; and send those
 who requite it  to the  hospital.   He will then visit his  hospital, pre-
 scribe  himself in all important cases,  and in the evening, again see
 those  who  require  particular attention.
   44.. .Unless specially directed, or in uncommon cases, he will send
 no patients to a general hospital, except his own be crowded, or he be
 ordered to march,  when he will  send all whom he may judge unable
 to accompany the regiments
   45...He will report to  the  commanding  officer those who should
 be allowed to ride, or have their knapsacks, &c, carried in the wagons;
 accompany the regiment on  the march; be within call, in case of ac-
 cident; and at all times have his instruments and dressings ready and
Alt hand, to attend  the wounded. 
MEDICAL REGULATIONS.
17
               Assistant Surgeons of Regiments.
  46...The  Assistant Surgeons will accompany the Surgeon in his
•morning visit; make the proper  entries in the case book, prescription
book, and diet book; frequently visit the hospital during the day, and
report to the Surgeon in the evening, and oftener in  urgent cases; at-
tend to the preparation and distribution of the medicines; assist in
making out the proper reports and returns; see that the nurses are at-
tentive to the sick, and regularly administer the medicines prescribed;
and that the  regulations of the hospital are strictly attended to.
  47...The Senior Assistant  will  take charge of  the register, and
see that  each patient be regularly entered therein ;  that the  diary of
the weather be properly kept; and that the Steward  and Wardmaster
attend to all the duties required  by the regulations.  The Junior will
have  particular  charge of the medicines  and instruments ; be respon-
sible to the Surgeon for their good condition ; and see that all orders
relating to the Medical  Department are transcribed in the order book.
                       Surgeons of Posts.
  48.. .The  Surgeon of a post will obey the instructions of the Med-
ical Director; be responsible for  the order and cleanliness of his hos-
pftal, the manner in which his attendants perform their duties, and for
the comfort and convenience of the sick.
  49.. .He will observe all the regulations for the Surgeon of a general
and regimental  hospital, in respect  to the books  and accounts  to be
kept; preserving copies of his reports, requisitions, returns, &c.; the
ventilation of his hospital; preventing and obviating  the effects of
contagion ; prescribing  suitable police regulations; making out  mus-
ter-rolls of his nurses and attendants ; signing requisitions for rations,
and directing what  parts shall be retained ; making returns for  vege-
tables, poultry, &c.; examining the books and accounts of the Steward
and Wardmaster; receiving morning reports; reporting cases of feigned
sickness ; visiting his hospital, and prescribing for his patients.

     Steward and Wardmasters  of  Regiments  and Posts.
  50.. .The Steward and  Wardmaster will observe all the regulations
given for  the Steward and the Wardmaster of a general hospital; in
relation to the hospital stores, rations, and other supplies ; to the bed-
ding,  cooking utensils, and hospital  furniture ; the clothing and effects 
lg                  MEDICAL REGULATIONS.

of the men ; the conduct of the attendants ; the order and neatness of
the patients,  wards, kitchens and  store-rooms; and to  keeping his
books and  accounts, and submitting them to the Surgeon for exami-
nation.                            '

             Reports,  Requisitions, and Returns.
  51...Every Surgeon  and Assistant Surgeon, having charge of an
hospital, will make  a quarterly report of sick  and wounded  to the
Surgeon General (Form 10) stating the nature and symptoms of the
complaints reported, the treatment adopted, the medicines and stores
most in demand, and the strength of the command during the quar-
ter,  with the number of companies present, and the regiments to
which they belong; and will  transmit therewith, his  observations
upon the medical topography of the post, station or hospital, the cli-
mate, prevalent diseases, and their probable causes.  He  will also re-
port the christian  and  surnames, rank, regiment and company, of
those who die or are discharged from  the service  on Surgeon's cer-
tificate;  describing particularly the nature  of their complaints,  and
stating  in each case, whether or not the disease originated while the
soldier was in the ^ine of his duty.
   52... Every Surgeon  and Assistant Surgeon  having charge of sick
with an army in the field, will  in  addition to the quarterly report re-
quired  by the preceding paragraph (51) make  a similar monthly
report of sick and wounded to the Medical  Director of  the army or
district  to which he belongs ; and  every one attending the sick of a
regiment, post, or garrison, will make  a morning  report to the com-
manding officer, (Form 11,) with such remarks and suggestions in
relation to whatever may affect  the  healthfulness of the  post, as he
may deem necessary and proper for the prevention  of disease, and the
convenience and recovery of the sick.
   53...Every Surgeon  and Assistant  Surgeon, having  charge of an
hospital, will transmit to the Surgeon General, on the 31st of Decem-
ber annually, duplicate  requisitions, agreeably to the standard supply
table, for the supplies required for the ensuing year, (Form 13,) stating
 the strength of  the  command for which they are made.  When he
 requires additional articles, or a greater quantity than is allowed, he
 will particularly state his reasons therefor ; otherwise all  supplies will
 be furnished agreeably to  this  table.   Requisitions for posts on the 

l1o+/« ^ e£^ ^//^-  *-"~^-  ^A/-^ -^f",
J^^T  £c^L^C 
JLU^«JL fr«C*^,  07 W-  &^f  22? '*%/, DvLA-<f 
                    MEDICAL REGULATIONS.                  19

upper Lakes, and upper Mississippi, and those west of that river, will
be made on the 30th of September annually.
  54__Every Surgeon and Assistant  Surgeon, on receiving  supplies
from a  Medical Purveyor,  Military Storekeeper, or Quartermaster,
or from another medical officer, will immediately report to the Surgeon
General, whether they are of good quality and  in good  order, and
whether they agree with the invoice or requisitions ; and will there-
with transmit his receipts in duplicate for the same.  He will, at the
same time, report to the person  furnishing the supplies all discrepan-
cies between the articles received and the accompanying invoices, and
all  losses from breakage or any  other cause.   On issuing supplies, he
will immediately transmit invoices of the same, that they may be charged
to the persons receiving them.
   55...Every  Surgeon  and Assistant Surgeon, having charge  of
public property of any description for the use of  the sick, will render
duplicate returns of the same to  the Surgeon General  on the 31st of
March, and 30th of  September, annually, (Form 16,) stating  from
whom  and at  what  time supplies were  received ; and accompanied
with receipts for those issued, and explanations  in relation to articles
lost, destroyed, &c. ;  and they  will particularly  report the  condition
of their instruments, bedding, and furniture.
   56...Before any articles of medical supply, whether damaged or
otherwise unsuitable for the public service, in charge of the officers of
the Medical Department of the  Army,  can be disposed of or dropped
from the  property  returns, they must have been examined  and con-
demned by a Board of Survey duly appointed. These Boards will be
governed in their proceedings by the same rules which prevail in  other
branches of the service, and all such reports and proceedings will be
 transmitted to the Surgeon General, to  be laid before the Secretary of
 War, for his approval and orders for the final disposition of the property
condemned.
   57...All  articles of medical  supplies  left in  charge of a medical
 officer, or found  by him at any station, although not  responsible  by
 the forms of a receipt, will be taken up  on his returns and requisitions;
 and invoices and receipts will, in all  cases, be made out in alphabeti-
 cal order, in correspondence with the standard supply  table.
   58.. .Medical supplies are not to be detained or diverted from their
 destination, except by commanding Generals, and commanding officers 
20                  MEDICAL REGULATIONS.

of departments, in cases of absolute necessity; who will promptly re-
port the  circumstances to the Adjutant General, that orders  may be
given for supplying the  deficiency; and the  Surgeon receiving them
will immediately report the fact to the Surgeon General, and transmit
his receipts for the articles;  and also,  when practicable, notify the
Surgeon  for whom they were intended.
  59.. .Requisitions for extra supplies of medicines and hospital stores,
required  in consequence of the marching of a  detachment, an increase
of the command, &c, will be made by the Surgeon, agreeably to the
supply table, and  approved by the commanding officer, (Form 14,)
duplicates of which will be immediately transmitted to the Surgeon General.
  60.. .Requisitions for cooking utensils, and for the hospital furni-
ture ordinarily supplied, will also  be made by the senior Surgeon and
approved by the commanding officer; and if they cannot conveniently
be obtained from the Commissary of Purchases or a Military Store-
keeper, or if extra supplies of medicines and hospital stores cannot be
obtained  from a Medical  Purveyor; they may  be  purchased by the
Surgeon  or an officer of  the  Quartermaster's Department.   The ac-
counts, (Form 15,) will be accompanied with a receipt of the Surgeon
for  the articles; and if the purchase has been made by him, they will
be transmitted to the Surgeon General's  Office for payment: separate
and distinct requisitions, as well as accounts, will in all cases be made
for  medicines and other supplies furnished by the Medical Purveyors,
and for cooking utensils and hospital furniture.
  61.. .Requisitions on officers of the Quartermaster's Department
for  hospitals, and  the necessary fixtures  and hospital  tents; for fuel,
straw, and wagons for transportation of the sick, medicines,  hospital
stores, &c. will be made by the senior Surgeon and approved by the
commanding officer.   Requisitions for hospitals will state the number
and  dimensions of  the rooms required, the use to which they are
severally to be applied, and the strength of the command for which
they are  estimated; duplicates of which will be  transmitted to the
Surgeon  General.
  62.. .When a Surgeon is ordered away from  the medical supplies
under his charge,  or receives leave of absence, he will immediately
make to  the Surgeon General a return of all articles received, expend-
ed, and issued, since his last regular return; accompanied with  a re-
ceipt in  detail for the remainder,  if he be relieved  by a Surgeon; but 
                   MEDICAL REGULATIONS.                  21
if he  deliver them  to a  Quartermaster, a Military Storekeeper, or
other  person than a Surgeon, he will, with the returns and one of the
receipts given him, transmit an invoice of the articles delivered, certi-
fied on  honor;  a copy of which invoice, signed by him, shall be left
with the supplies; and when any Surgeon or Medical Purveyor re-
ceives the articles thus left, he shall, in his next return, state by whom
they were left, as well as from whom they were received.
  63...Every Surgeon and  Assistant  Surgeon, on leaving his post,
station, or regiment, either under orders, or on leave of absence,  will
report to the Surgeon  General the time  of his departure, and report
himself once a month until  he reaches his place of destination, or re-
turns  to duty; when he will also report his arrival.
  64...All  Surgeons attending recruiting rendezvous,  will make
monthly reports to the Surgeon General of the number of men examin-
ed by them, (Form  12.)
  65...The receipt of all official communications will be promptly
acknowledged by the medical officers to whom they are addressed,
except those which merely acknowledge the receipt of communications
from them; and all communications for the Medical Department  will
be addressed directly to the Surgeon General.
                Medical Board of Examination.
  66...No person  shall  be appointed or promoted in the  Medical
Staff  of the Army, until he shall have passed an examination before
a proper Board, and received therefrom a favorable report.
  67... A Board, consisting of not less than three Medical Officers, will be
detailed from time to time, by order of the War Department; who will ex-
amine all persons, between the age of 21 and  28, authorized to present
themselves.  In the execution of this duty, they will rigidly scrutinize
the pretensions of each candidate; taking into consideration his phy-
sical qualifications and  moral habits, as well as his professional ac-
quirements; and will report favorably upon no case admitting a  rea-
sonable doubt.   The health  and lives of the officers and  soldiers are
too important  objects  to  be committed to  ignorant and incompetent
hands.
  68.. .The Board will report the positive  merits of the candidates in
the several branches on which they  may be examined, and their rela-
tive merit from the whole  examination ;  agreeably  to which, they
will receive appointment,  and take rank in the department. 
22                  MEDICAL REGULATIONS.

  69.. .When a candidate for appointment shall fail to receive a favor-
able report, he may, if desired, be admitted to a second examination,
after the expiration of two  years;  and, on a second failure, will  be
dropped from the list of applicants.
  70.. .No allowance will be made for the expenses of persons under-
going these examinations, as they are considered  indispensable pre-
requisites to appointment; but those who are approved  and receive
appointments, will  be entitled to transportation on  obeying the first
order.
  71.. .No person shall be appointed a Surgeon until he shall  have
served five years as an Assistant Surgeon in the Army ; nor shall any
Assistant Surgeon be  permitted to decline promotion, except for rea-
sons growing out of the interests of the service.   At the expiration  of
five  years' service, or as soon after as practicable, each one shall  be
examined by a Medical Board for promotion; and in the event of his
refusal to appear before the Board, or his failure to receive a favorable
report therefrom, his connexion  with the Medical Staff  shall cease
from that time.
                            General.
  72.. .The regularity and proper management of military hospitals so
materially tend  to the good of the service, and so much promote the
comfort of the  soldiers, that the  necessity of giving the most constant
attention to these important objects cannot be too strongly impressed
on the minds of all officers in command.
  73.. .Hospitals are under the immediate direction of their respective
Surgeons.  The responsibility for their order, regularity,  and cleanli-
ness; for the diet and  care of the patients; and for the general conduct
and economy of the  whole establishment, rests entirely  with  them.
Commanding officers  are enjoined to furnish such military assistance
as may be necessary  for the attainment of these objects;  and all non-
commissioned officers and others placed in the  hospital in aid of the
Surgeon, are commanded to yield the most  implicit obedience to the
instructions they may receive  from  him, and to enforce,  in  every  in-
stance, the most minute observance of the hospital regulations.
   74...The  senior medical officer  of each regiment, post,  garrison,
or camp, will,  with the approbation of the commanding officer,select
a suitable site for the  erection of an hospital, or of hospital tents.  The 
                    MEDICAL REGULATIONS.                 23

allowance of fuel, quarters, and straw for the sick, and wagons for their
transportation and  that of the medical stores, will also  be regulated
by  the  Surgeon and commanding officer, or  Medical Director; the
requisitions to be signed by the former and countersigned by the latter.
  75.. .Every Surgeon, and Assistant Surgeon, having charge of an
hospital, will, with the approbation of his immediate commanding of-
ficer, appoint his own steward, wardmaster, cooks, nurses, and  ma-
trons.  They will  be permanently attached  to the hospital, and un-
less required by the commanding officer to attend weekly inspections,
or the  regular musters  for  payment, they will be exclusively under
the orders of the Surgeon and Assistant Surgeon, and will not be re-
moved except for  misdemeanor,  and at the request of the Surgeon,
unless in cases of urgent  necessity; and  then  only by  the order
of the commanding officer  of the troops, district, department, regi-
ment, post, or garrison, to which they belong ; who will report to the
Adjutant General  the  circumstances which rendered such  removal
necessary.   When  a suitable hospital steward  cannot  be obtained
from the command on application of the Post Surgeon to the comman-
ing officer, the  recruiting officer of the  station will  enlist the person
who may be recommended  by the Medical Officer as qualified for such
extra, duty. The recruit«o enlisted will be assigned to some company,
and be accounted for in  the same manner as other enlisted soldiers of
the army.                                         •
  76.. .The following will  be the allowance of attendants in an hos-
pital in ordinary cases:—To a'general hospital, two non-commissioned
officers as stewards, one of  whom shall perform the duties of Ward-
master as defined'  in these  regulations, one nurse to  every  ten, one
matron to every twenty, and one cook,to every thirty patients.  To
an  hospital where the  command  exceeds five companies, one non-
commissioned officer as Steward and  Wardmaster,  one cook,  two
matrons, and four  nurses.  To a post or garrison with one compa-
ny, one private, as Steward and Wardmaster,  one nurse,  and one
matron ;  for every  two  additional  companies, one nurse.   The cooks
and nurses  to be taken from the privates of the army.  The Hospital
Stewards at posts,  or with a body of troops, of more than four com-
panies, will be  allowed  the pay, clothing, and rations of a Sergeant
of Ordnance ; and at all  other posts, or with smaller bodies of troops,
the  pay, clothing,  and  rations of the first Sergeant of a company of
               4 
24                 MEDICAL REGULATIONS.

Infantry.  The matrons will receive six dollars  per month and one
ration per day.
  77.. .Issues to the hospital will be made on returns signed  by the
Medical Officer.   If  the  complete ration be  not drawn, the  cost of
such component  parts 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 rations due through the month at contract or cost
prices.  The balance of money found due the hospital, or such amount
of it as may  be  required, will be  expended by  the Assistant Com-
missary of Subsistence in the purchase of poultry, fresh meat, vege-
tables, milk,  and groceries, upon  the requisition of the Surgeon.—
This fund may also be appropriated to the purchase of garden seeds,
furniture, &c, milch cows and forage for the  same, and  other neces-
saries when required for the use of the sick.
   78...When a soldier is sent into an  hospital, his  arms and ac-
coutrements will, if possible, be left with his company; and  in no
instance will  he take his ammunition with him.  When sent to a
general hospital, the Surgeon sending him will furnish a report, with
a  general account of his complaint, and  of  the treatment adopted,
(Form 17) and also a certified copy of his descriptive list, which will,
on the return of the soldier to duty, be transmitted to the  officer under
whose command  he  is placed, with a statement of any  payments
made,  or clothing issued to him while in hospital.  Should he leave
the hospital on furlough, he will be furnished  with a certified copy of
his descriptive list; should he desert, the Surgeon will advertise him in
-the usual manner ; and in case of his death,  his descriptive list will
be preserved  in the hospital, for the benefit of his friends and  heirs ;
and  on it will be stated the amount  of clothing, money, &c. left by
him ; and the Surgeon will, in all  these cases, forthwith report to the
commanding officer of his company or  regiment, if practicable, and
if not, will report to the Adjutant General the  facts  and attending
circumstances ; the time  to which those  who  die were last paid, and
the money and effects in their possession at the time of their decease.
   79__Upon the recommendation of the senior Surgeon of any post
or detachment, approved by the commanding officer, diseased soldiers
may be placed temporarily in private hospitals, provided, that  the
charges of each  shall not exceed the commutation  of rations allowed
by paragraph 1103, General  Regulations—edition of 1841. 
MEDICAL REGULATIONS.                 25
  80.. .Patients will be not removed from an hospital until reported
by the Surgeon for duty, except in cases of emergency ; and then only
by order of the commanding officer of the post, regiment, or army ;
and they should for a certain time be employed on duties where they
are not liable to be too much exposed to the weather or to fatigue.
  81.. .When a soldier is rendered unfit for service  in consequence
of wounds, disease, or infirmity, the senior Surgeon of the hospital,
regiment, or  post, will furnish  his captain with duplicate  certifi-
cates of disability, (Form  18;)  and when he is disabled in conse-
quence of wounds or other injuries received, or disease  contracted,
whilst actually in the service of  the United States, and in the line of
his  duty, he  will  also furnish  duplicate  certificates  for  pension,
 (Form 19.)  But no certificate for discharge,  or for pension, will be
given except by officers of the  Medical Department; who will be
 particularly careful in the  examination of all cases which have not
 been for some time under their own charge,  and ascertained to be in-
 curable ;  and especially of  all alleged cases of epilepsy, convulsions,
 chronic rheumatism, derangement of the urinary organs, opthalmia,
 ulcers, or other obscure or doubtful complaints or injuries, which are
 liable to be feigned, or produced for the purpose of procuring a dis-
 charge ; and no certificate will be given to men recently enlisted, on
 account of complaints or injuries of this  character, until they shall
 have been for a sufficient time under the immediate observation of the
 medical officer to enable him to  detect any attempt at deception.
   82.. .Surgeons and Assistant Surgeons and private physicians  act-
 ing as such, will attend all  officers, non-commissioned officers, musici-
 ans, privates, and enlisted artificers and laborers in the service of the
 United States, who may be on duty at the post or place at which they
 are stationed or employed, and the private servants to which each offi-
 cer is entitled by law.  They will issue medicines and hospital stores
 to them, and medicines only to their families.
    83.. .They will be particularly attentive in the examination of re-
 cruits, and will cause each recruit to be stripped*of all his clothes, and
 to move about and exercise his limbs in their presence, in order to as-
 certain whether he has the free use of them; that his chest is ample;
 that his hearing, vision, and speech are perfect; that he has no tumors,
 ulcerated or extensively cicatrized  legs; rupture, chronic cutaneous af-
 fection , or other disorder or infirmity, mental or physical, which may ren- 
26
MEDICAL REGULATIONS.
 der him unfit for the active duties of a soldier, or be the means of introdu-
 cing disease into the army; and they will ascertain, as far as practica-
 ble, whether the recruit be an habitual drunkard, or subject to convul-
 sions of any kind, or has received  any contusions or wounds of the
 head, which may  produce occasional insanity.  With any  of these
 defects, the man will be rejected as unfit for service.
   84.. .When a recruit joins a regiment,  post, garrison, station, or
 depot, the Surgeon will forthwith ascertain  whether he has had the va-
 riolous or vaccine infection, and if he l)as not, will see that he be  vac-
 cinated as soon as practicable;  and for this purpose he will constantly
 keep good matter on hand; making applications to the Surgeon  Gene-
 ral for a fresh supply, as often as may be necessary.
   85...In the selection of quarters,  Surgeons will have choice with
 Majors; Assistant Surgeons, who shall have served  five years,  will
 have choice with Captains; and those who  shall have  served less than
 five years, with First  Lieutenants; the commanding officer of the post,
 or detachment, always having precedence of those under his command.
   86. ..The assignment of Surgeons and Assistant Surgeons to regi-
 ments and posts, will be made by the Secretary of War, through the
 Surgeon General.   When attached to an army in the field, they will
 be assigned to duty by the commanding General,  unless otherwise or-
 dered  by the Secretary  of War, upon the recommendation of the Sur-
 geon General.
   87__No Surgeon,  or Assistant Surgeon,  will  be absent  from his
 regiment, post, or station, for a period exceeding seven days, without
 having previously obtained the sanction of  the Secretary of  War,
 through the Surgeon General, to whom the reasons for the application
 will be reported; nor until he shall have been relieved by a medical
 officer, or a private physician shall have been employed in conformity
 with paragraph 83.
                       Private Physicians.
   88. ..When medical or  surgical aid is required, if no Surgeon or
 Assistant Surgeon of 'the army be at or near the place, the senior  offi-
 cer will employ a private  physician by special agreement in  writing,
 (Form 20,) a duplicate  of which will be  immediately transmitted to the Sur-
geon General for approval.  All such agreements will  be made  for a
specific sum  per month, without any allowance or emoluments what-
soever: and will be accompanied with a certificate of the officer, stating 
                             MEDICAL REGULATIONS.                  27
         the number of persons entitled to medical attendance, agreeably to para-
        ■ graph 82, of these regulations, and that no competent physician could
         be obtained at a lower rate.  At permanent recruiting rendezvous and
         posts, where it is not convenient to station a Surgeon or an Assistant
         Surgeon, private physicians will be selected by the War  Department.
         Until, however, such selections are made, they will be employed by
         the officers as above stated.
           89. ..Private physicians residing in the vicinity of a military post
         will be allowed the following rates of compensation:—For attending a
         post, garrison, or  detachment of one hundred and upwards, forty dol-
         lars per month; of from fifty to one hundred, thirty dollars per month;
         and for attending any number under fifty, twenty dollars per month—
         exclusive of medicine.  When: they furnish their own medicine, they
         will be allowed an addition, of from twenty-five to fifty per cent, upon
         their pay, the proportion  to .be  determined by the Surgeon General.  '
         They will be required to make reports, requisitions, and returns, in the
         form and manner directed for the Surgeons of the army, or as often us
%        the Surgeon General may direct.  Their  accounts will  be transmitted
         to the Surgeon General for payment, accompanied with a certificate of
         the commanding officer, that they are correct and agreeable to contract.
           90...On  the frontiers,  and at posts where private physicians  are
         required to abandon their ordinary avocation, and to devote their un-
         divided time to the public service, they will be allowed for attending
         a post, garrison, or detachment of fifty men and upwards, a sum not
         exceeding the pay and emoluments of an Assistant Surgeon of less than
         five years' service ; and where the number of persons is less than fifty,
         they shall be allowed a sum not exceeding seventy dollars per month.
^         91..." It is not considered absolutely  necessary that every detach-
         ment moving from one point to another, in a steamer, or a sail vessel,
         or on a march, should be  accompanied by a physician.  Officers and
         soldiers must expect  like  people in  civil life; to'encounter the chances
         of  accident  and disease, and occasionally to  travel without  a  phy-
         sician."  Private  physicians, therefore, will be employed to accom-
         pany troops or detachments on a march or in  transports, only on
         orders from the War Department ; or, in special cases,  by order of
         the officer directing the movement, when the contract will be accom-
         panied with a particular statement of the circumstances which ren-
         dered the employment of a private physician necessary.   The con-
         tracts will state the service  to be rendered, and will be for a specific sum, 
28                 MEDICAL REGULATIONS.

not exceeding one hundred dollars per month, without any emoluments
or allowances, except transportation when furnished in kind by the
Quartermaster's Department, or the usual sum in commutation when
transportation in kind is not furnished.
  92.. .Recruiting officers will, if necessary,  employ private physi-
cians, agreeably to these regulations.  The rate of compensation will
be determined by the average number present  during the  month ;
their accounts and those for medical supplies will be paid by the re-
cruiting officers.   When there is more than one recruiting party in a
place, the Senior officer will engage a Surgeon to attend the whole.
  93...When in consequence of the withdrawal of the troops, the
arrival of a medical officer, or from other cause,  the exigency for
which a private physician may have been employed at a post,  or
with a regiment, shall no longer exist, the contract on the part of the
government ceases as a matter of course, and the commanding officer
whether he be a party to the  contract or  not will at once have it an-
nulled and report the fact to the Surgeon General.
  94...The accounts of private physicians for attending  troops on
the frontier, or in the field, if they cannot conveniently be referred to
the Surgeon General for liquidation, may be paid by a Quartermaster
or other disbursing agent under the orders of his immediate  com-
manding officer ; provided, the sum paid for  the services rendered
does not exceed the compensation allowed by these regulations.
  95.. .Whenever a body of volunteer or militia troops is mustered into
the service  of the United  States, should there be no regularly ap-
pointed medical  officer present, the commanding officer, if it be a re-
giment, will engage two private physicians, one to act  as Surgeon,
and the other to act as Assistant Surgeon ; and if it be a battalion, one
physician to act as Assistant Surgeon  to the troops.  These private
physicians will  be borne on the muster rolls and paid as Surgeon and
Assistant Surgeon, until medical officers duly  appointed report  them-
selves in person for duty with the corps.
  96.. .Surgeons and Assistant Surgeons of militia  and volunteer
corps in the service  of the  United States,  shall be held responsible for
all  medical  supplies received  by them ; nor shall their  accounts  be
settled until satisfactory evidence be given to the Paymaster or other
disbursing officer, that their supplies have been properly appropriated.
  97__Accounts for  medical attendance and medicines furnished to
officers, non-commissioned officers, musicians, privates,  and enlisted 
 
 
                    MEDICAL REGULATIONS.                 29
artificers and  laborers on duty at places where medical aid is not fur-
nished by the United States, and  to the private servants of such offi-
cers, will  specify the name of each patient, and the date of and the
charge for each visit, and for medicine when furnished.  Accounts for
officers and their servants will be paid by the officers themselves, to
whom the amount will be refunded on presenting them in the form
above stated, with a certificate of the physician that they are the usual
and customary charges of the place, and one from the officer, that the
attendance was given and the medicine furnished to himself or to his
private servants authorized and kept in service agreeably to law ; that
he was on duty at the post or station or was  travelling under orders
at the time,  and that medical attendance was  not furnished by the
United States.  Accounts for enlisted men will be accompanied with
the affidavit of the physician, that the attendance was given and the
medicine furnished as charged, and that they are the usual and custo-
mary charges of the place, and with the certificate of a commissioned
officer or the affidavit of the  soldier, stating particularly the circum-
stances under which the attendance was given.  Accounts  for atten-
dance on officers or soldiers deceased,  will require the  deposition of
the physician that the services were rendered  as  charged ; that  they
are the customary charges of the place ;  and that  he has received no
part thereof,  and no  security or satisfaction for the same.
  98...When an account  for  medical  attendance or medicines  is
manifestly extravagant, the officer ordering, incurring, or  certifying
such  exorbitant account, will be liable, and be only accountable to the
physician employed  for whatever exceeds the amount allowed by the
Surgeon General as a fair and reasonable compensation.
  99.. .At places were medical attendance is furnished by the United
States, the account will be accompanied by a certificate of the Surgeon,
Assistant Surgeon, or private physician, stating the reasons why the
service was  not rendered by him ; and  if such  reasons are deemed
insufficient the amount will be charged to such Surgeon, Assistant
Surgeon, or private physician.
  100.. .No  account will be paid  for medical attendance or medicine
furnished to  officers  or  soldiers on leave of absence, or on furlough,
nor unless the services were rendered  at the post  or place where the
officer is required to  perform his duty, neither are accounts for con-
sultation visits under any crcumstances to be recognized as legitimate
claims against the United States. 
30
       MEDICAL REGULATIONS.

STANDARD  SUPPLY TABLE.
MEDICINES.
Acacia?...................lb.
Acidi, acetici.............lb.
-----arseniosi (arsenic), .oz.
-----benzoici...........oz.
-----citrici..............lb.
-----muriatici...........lb.
-----nitrici..............lb.
-----sulphurici..........lb.
--------------aromatici. .lb.
-----tannici......'.......oz.
-----tartarici............lb.
YEtheris sulphurici loti.....lb.
Alcoholis..............cong:
Aloes...................oz.
Aluminis................lb.
Ammoniaci..............lb.
Ammoniae carbonatis......oz.
•     ---- muriatis........lb.
Anthemidis..............lb.
Antimonii et potassas, tart. .oz.
Argenti nitratis...........oz.
Assafoetidae..............oz.
Camphorae...............lb.
Cantharidis..............oz.
Cardamomi..............oz.
Catechu.................lb.
Cerae flavae...............lb.
Cerati resinae.............lb.
-----simplicis...........lb.
-----zinci carbonatis.....lb.
Colombae................lb.
Copaibas.................lb.
Creasoti.................oz.
Cretae praeparatae..........lb.
Cupri sulphatis...........oz.
Diosmaa.................lb.
Emplastri adhaesivi......yds.
--------cantharidis......lb.
--------ferri............lb.
--------hydrargyri......lb.
--------resinae..........lb.
Ergotae..................oz.
Extracti belladonna;......oz.
------colocynthidis comp.oz.
------glycyrrhizae.......lb.
------hyoscyami........oz.
Ferri iodidi..............oz.
-----subcarbonatis.......oz.
Ferri sulphatis...........oz.
Gambogias..............oz.
Gentianae................lb.
Glycyrrhizae.............lb.
Guaiaci resinae...........lb.
Hydrarg. chloridi corrosiri oz.
--------------mitis (cal.) lb.
--------cum creta.......lb.
---------iodidi..........oz.
--------oxidi rubri......oz.
Iodini...................oz.
Lini......................lb.
Liquoris ammonia*;........lb.
-------ferri iodidi.......lb.
-------sodaechlorinatae. .bot.
Magnesiae................lb.
---------sulphatis.......lb.
Massae' pilulae hydrargyri. .oz.
Mellis despumati.........lb.
Morphiae  sulphatis......drm.
Myrrhae.................lb.
Olei anisi................oz.
---caryophylli..........oz.
---cinnamomi...........oz.
■---menthae piperita......oz.
---olivae...............bot.
---origani..............oz.
---ricini............qt.  bot.
---terebinthinae......qt. bot.
---tiglii...............drm.
Opii....................lb.
Picis abietis..............lb.
Piperinae................oz.
Plumbi acetatis...........lb.
Potassae (caustic.)........oz.
-------bicarbonatis......lb.
-------bitartratis........lb.
-------iodidi...........oz.
-------nitratis...........lb.
-------sulphatis.........lb.
Pruni virginianae..........lb.
Pulveris capsici..........lb.
-------cinchonas.........lb.
■-------cubebae..........lb.
-------ipecacuanha;.....lb.
-------jalapae...........lb.
-------lini..............lb.
------- rhei.............lb.
-------sinapis  nigrae.....lb.
-------ulmi.............lb.
 1
 1
 2
 4
 4
 1
 6
 3
 4
25
 8
 2
 2
 !
 2
 1
 1
 1
 2 
MEDICAL REGULATIONS.                  31
Quassiae.................lb.   |
Quiniae sulphatis.....oz. 2 to  12
Rhei....................lb.   |
Sacchari.................lb.  20
Saponis.................lb.
Sarsaparillae.............lb.
Scillae...................oz.
Senegae..................oz.
Sennas...................lb.
Serpentariae...............lb.
Sodae bicarbonatis.........lb.
----boratis..............lb.
----et potassae tartratis... .lb.
Spigelian.................lb.
Spiritus aetheris nitrici.....lb.
       lavandulae compositi lb.
Strychniae..............drm.
Sulphuris loti............lb.
Syrupi scillae.............lb.
Tincturae chloroformi......lb.
--------colchici seminis. .lb.
--------digitalis.........lb.
--------ferri chloridi.....lb.
Unguenti hydrargyri......lb.
----------------nitratis. .lb.
Valerianae................lb.
Veratriae...............drm.
Zinci sulphatis...........oz.
                        INSTRUMENTS.

Amputating.............................................sets
Ball forceps.............................................n0-
Bougies, gum elastic.  Six to a post, twelve to a regiment.
-------metallic, (assorted.).................................
Catheters, gum elastic.   Two to a post, six to a regiment.
-------»- sUver (pure,) (assorted.)............................
--------cases.............................................
Cupping glasses, two, tins, four.
Dissecting sets.   One'to a post, two to a regiment.
Lancets spring, (four extra fleams to each lancet.)  One to a post,
       two to a regiment.
-------thumb.  Four to a post, twelve to a regiment.
______________, cases.  One to a post, three to a regiment.
Needles, surgeon's..........................................  12
-----------------cases.....................................  1
                 ........................................sets  1
                                       ...................sets  1
Obstetrical.
Pocket.
Pullies.................................................seis   -J
Scarificators................................................   *
Splints, (assorted).........................................."~
Stethescopes.................................................   *
Syringes, enema (assorted.)  Two to a post, three to a regiment.
________penis.  Two glass and six metallic to a post, twelve to a
      regiment.
Teeth extracting sets,  (embracing  Key,  gum lancet,  straight and
      curved forceps.)   One to a post, two to a regiment.
Tourniquets, field.   Four to a post, eight to a regiment.
____________spiral.   One to a post, two to a regiment.
Trepanning.............................................sets   J
Trocars...................................;................
Trusses, hernia.   Three to a post, six to a regiment.
Anatomy
Surgery
BOOKS.

 copy.  One to each post or regiment* 
32
MEDICAL REGULATIONS.

       copy.  One to each post or regiment.
Medical practice
Dispensatory
U. S. Pharmacopeia            "         "      "        "
Ellis's Medical Formulary       "         "      "        "
Chemistry                      "         "      "        '■
Medical Jurisprudence and )    ,,         ti      ,,        4<
               Toxicology )
Obstetricy                      "         ••      "        "
Medical Dictionary              "         "      "        "
-------Journals..........................................in-
Meteorological Directions        "         "      "        "
Regulations for Medical)        !(         ti      i(        ((
           Department $
Blank
Case
Meteorological Register
Order and letter
Prescription
Register
Requisitions                 1
Returns                     \"    "
Reports of sick and wounded }

                    HOSPITAL STORES.
 No.  Two to each post or regiment.
 "    One  ""
copy   "
No.   "
copy   "
Arrow-root..........lb. 4 to 10
Barley.......,...........lb. 20
Brandy, bottles of... .doz. 2 to  4
Carrageen................lb.  1
Cinnamon................lb.  J
Cloves..................oz.  4
Cocoa...................lb. 10
Ginger, ground (Jamaica). .lb.  1
Molasses............gallons 10
Nutmegs................oz.  4
Tamarinds...........lb. 6  to' 15
Tea.....................lb. 20
Wine, bottles of.... .doz. 2 to  4
BEDDING.
Bed sacks...............no. 10
Blankets, woollen... .no. 10 to 20
Coverlets................no. 10
Mattresses...............no.  2
Musquito Bars...........no.
OilCloth...............yds.   4
Pillow cases.............no. 25
-----ticks..............no. 10
Sheets..................no. 40
               FURNITURE, DRESSINGS, &c.

Binders' boards..........................................no.  4
Cocks, wine, &c.........................................no.  4
Corks, assorted.........................................doz. 12
Corkscrews.  One to a post, two to a regiment.
Flannel................................................yds.  5
Funnels, glass...........................................no.  1
-------tin............................................no.  1
Hatchets.  One to a post, two to a regiment.
Hones.....................................,............no.  1
Inkpowder, papers of.  Two to a post, four to a regiment. 
                      MEDICAL REGULATIONS.                33

Inkstands.  One to a post, two to a regiment.
Linen.................................................yds*  S.
Lint....................................................lb*  I
Measures, graduated.....................................n0-  *
________tin..........................................sets*
Medicine chests..........................................n0*
Mills,  coffee.   One to a post, two to a regiment.
Mortars and pestles,'glass................................no-  \
_______________- iron..................................no-  1
______.---------wedgewood...........................no-  1
Muslin................................................yds* f.
Needles, sewing.............................;...........110* Zi>
Pans,  bed (pewter.)  One to a post, two to a regiment.
Paper, envelope.......................................quires  _,
_---filtering........................................*-luires   s
______wrapping......................................<lulres 10
Paper, writing, quires.  Ten to a post, fifteen to a regiment.
Pens,  steel...........*.................................doz*  *
Pill boxes............................................PaPers  *}
---machine.............................................no*  *
Pins.................................................PaPers _?
Quills..................................................n°*2J
 Rain gauges............................• •............• *sets  l
 Scales and weights, apothecaries, sets of.  One to a post, two to a
       regiment.
 Scales and weights, shop..................................no-  *
 Scissors.........................................«......no*  ~
 Sheep skins, dressed.....................................no-  *J
 Silk....................................................oz*  *
 Spatulas................................................"°*  f
 Sponge..................................................lb-  \
 Tap borers..............................................*no*  \
 Tape, linen.......................•....................Pieces  4
 Thermometers.     Two to a post, three to a regiment.
 ____________cases  "
 Thread, linen............................................oz*  \
 m-i                                .......................no.  1
 Tow....................................................lb* J.
 Towels.................................................no*20
 Twine.................................................*lb*  I
 Vials, assorted.................................;........aoz*  b
 Wafers (\ oz.) boxes.   One to  a post, two to a regiment.
  Wax, sealing..........................................stlcks  3
                             Remarks.
   This table  contains all the articles to  be purchased  by Medical

  Purveyors.
   The  quantities of Medicines,  Hospital  Stores, and Dressings here
 given, are estimated for one hundred men for one year, and from them,

  &11  Requisitions are to be calculated. 
      METEOROLOGICAL  OBSERVATIONS.


  The following " Directions for taking Meteorological Observations"
are published for the use of the officers of the Medical Staff; and it is
expected that they will be observed, in all respects, with the utmost
strictness and regularity.
  The senior medical officer on duty at each military station will be
held officially responsible for the accuracy of the Meteorological Ob-
servations made at the station, and his signature will be appended to
each Register.
  At the close of each month, within the period (five days) prescribed
for the completion of other official documents, a fair copy of the Me-
teorological Register (form No. 3)  will be transmitted, under cover,
addressed directly to the Surgeon General.
  The Hourly Meteorological Register (form No. 4) kept on the 2lst
of March, June, September, and  December, will be forwarded at the
same time, aifd under the same cover with the daily Register, at the
end of each of these months.
                      DIRECTIONS.

  Observations of the Barometer, with its Attached Thermometer,
of the Themometer (Detached), the Clearness of the Sky, the Direc-
tion and Force of the Wind, and the Direction and Velocity of the
Clouds, will  be made at a little  before sunrise,* 9 a. m., 3 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 indi-
cated by the Rain Gauge.
  * These hours correspond with those adopte^-^he RoyalSociet-^pf London,
with the exception that a " little before sunrise " has been substitutelfTor 3 a.m.
They express very nearly the extremes and the means of daily temperature, and
do not perhaps vary much from the periods when the extreme points of barometric
oscillation happen over a large portion of the globe. 
                    MEDICAL REGULATIONS.                 35

  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 observa-
tion should have been recorded.
  The " Daily Mean " of the Thermometer (detached) is to be found
by  adding together the observations at sunrise and 3  p.  m., and
halving the sum.*
  At the end of the month,  add up each column of figures on the
Register, under the heads of  " Barometer," " Thermometer Attached,"
" Thermometer Detached," and " Clearness of the Sky," 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."
  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.

  The instrument adopted by the Department is the syphon Barome-
ter of Bunten.
  For  transportation it is inverted  and placed in a leathern case,
(the top of the instrument being thus at the bottom of the case,) of
which the end marked " Haut " must always be kept uppermost.
  After drawing  the instrument gently from  its case, carefully restore
it to its proper position, and  hang it by the ring at its top, upon  the
screw hook which will be found in the compartment in the top of the
case,  and  which must be  securely fastened in  a substantial  up-
right.
  The  Barometer will,.be_  suspended perpendicularly,  in  a good
 ---------------^_-------;------------
  * It has been determined by long experience that the minimum temperature of
the twenty-four hours occurs at a  " little before sunrise," in avast majority of in-
stances, and the maximum about three p. m., and that the mean for these  two
periods varies but little from the mean for the whole day. 
3g                  MEDICAL  REGULATIONS.

light, in an apartment having an equable temperature, and  a dry at-
mosphere.*
  When  once suitably placed, the position of the  instrument should
not be changed, unless  from absolute necessity—in which  case the
circumstance will be carefully noted on  the  Register, under the head
of -- Remarks."
  If the means be  at hand, the altitude of the mercury in the  lower
scale of the Barometer above the level of the sea, should be ascertained,
and stated on the Register ;  if not, its relative position, in regard to
height, to some permanent mark in the  neighborhood, should be
measured, f
  It will be observed that there are two scales  on the Barometer.
On the upper scale the degrees are  reckoned, from the  middle of the
instrument, upwards;  and, on the lower, from the middle, downwards.
  The larger degrees on these scales (those which are numbered) are
centimetres and their  subdivisions (not  numbered) are tenths of a
centimetre, or millimetres ;  thus 36 larger  and 3 smaller  divisions read
36 t*V centimetres, or,  in decimals, 36.3.
  Each scale  is provided with a  vernier, which can  be raised, or
Lowered, by turning the  small milled head attached to it.
  Before  taking an observation, tap  the instrument gently with the
fingers, in order to  dislodge any globules of the mercury which may
adhere to the glass tube.
  * The position of the Barometer in  an  apartment cannot,  of course, affect its
accuracy, for the pressure of the atmosphere is precisely the same in the  closest
room, provided that it is not absolutely air-tight, as under the open sky.  Neither
does a fire  in the  apartment affect the accuracy of the instrument; on the con-
trary it prevents it from rusting, and obviates the tendency of the mercury in the
tube to oxidate; and the Barometer should  never,  under any circumstances, be
permanently exposed to the weather.
  t The height of the Barometer above  the level of the sea must be  known, in
order that  the altitudes of the  various instruments in use by the  department may
be reduced to a common level; otherwise, it  would be impossible to compare
them with  each other, or to embody their consolidated results in a tabular form.
  A sextant, or a theodolite, is necessary to determine the altitude above the level
of the sea. Where these instruments cannot be  had, a simple water or spirit
level, with a surveyor's rod, would suffice to measure the difference of height be-
tween the  position of the Barometer and some permanent object of known alti-
tude in the vicinity of a post,  such as ordinary low water mark  in a neighboring
river or lake, &c.  &c. 
MEDICAL REGULATIONS.
TO TAKE A  BAROMETRICAL OBSERVATION.
  Looking at the upper scale, bring the
lower edge  of the vernier  (marked  0)
to a level with the surface of the mercury
in the glass tube.
  Suppose the line A A in the diagram to
represent the lower edge of the vernier in
this position, the  reading would be  36.2,
with a  slight excess.   To ascertain the
amount of this excess run the eye up the
scale on the vernier from zero,  (0,) until
one of its degrees is found coinciding ex-
actly with a degree on the larger scale.—
The degree  thus  found on the venier (in
the present instance 7) is to be annexed to
the former reading, 36.2, thus : 36.27—
(thirty-six centimetres  and twenty-seven
hundredths  of a  centimetre)—which ex-
presses exactly the height of the mercury
in the upper scale.
   Pass to the lower scale, remembering
 that the degrees now count downwards.
.  Bring,*as before, the lower edge of the
 vernier (marked 10) in a level with the
 convex surface of the mercury, as repre-
 sented by the line B B.
   The  scale reads  38.1, and  a fraction
 over.  On the  vernier,  counting down-
 wards from zero, (0,) the fourth degree
 coincides with  a degree  on  the larger
 scale.   Accordingly, 4 annexed to 38.1,
 thus :  38.14, expresses the height of the
 mercury in  the lower scale.
UPPER SCALE.
  II I-*---*
LOWER SCALE.
         -35
II' I
>io 
38                 MEDICAL REGULATIONS.

  To complete the observation, add  the readings of the two scales
together :
                       36.27
                       38.14
                       74.41           *
The sum 74.41 expresses the height of the  barometric column, in
centimetres and hundreths of a centimetre.  This  will  be sought for
in the *" Table for converting the French Barometer Scale into the English "
in its proper column, under the head "Centimetres," and corresponding
with it  in the next column to the right, uuder  the head "English
Inches," will be found  its value in inches and thousandths of an inch.
  In the present instance, 74.41 centimetres will be found equal  to
29.295 inches; and 29.295 will be, accordingly, set down in the Register.
              THERMOMETER  (ATTACHED.)
  At the  time of observing the Barometer,  observe also the height,
 to the half of a degree, of the centigrade Thermometer attached to it.
Refer the observation—say  for  example, in this instance,  12.5—
to the proper column in the *" Table for reducing Degrees of the Centi-
grade Thermometer to Degrees of Fahrenheit," under the head " Centi-
grade,"  and  in  the  next column to   the  right, under  the  head
" Fahrenheit," will be found its corresponding degree of Fahrenheit's
scale, viz:  54.5, which will be registered, accordingly, as the obser-
vation of the attached Thermometer.
              THERMOMETER (DETACHED.)
  The Thermometer will be placed in a situation having a free circu-
lation of air, not exposed to the direct or reflected rays of the sun,
and sheltered from rain.  Its situation should be remote from massy
walls,  which slowly imbibe or part with caloric.  In making obser-
vations 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.
  * These tables have been published by the Medical Department in a separate
volume, a copy of which will be furnished to the Medical officers on application to
the Surgeon General. 
MEDICAL REGULATIONS.                 39
                CLEARNESS OF  THE SKY.
  The amount of clear sky, at the hours of observation, will be desig-
nated by the figures 0,  1, 2,  3, 4, 5, 6, 7, 8, 9, and 10 ; 0 signifying
no clear sky ;  1, a very  small portion of  clear sky ; and so on to 10,
which indicates the entire absence of clouds, or haze.
                            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 W., S. W., S.S. W., &c.
The force of the wind will be expressed by figures from 0 to  10, thus :
         0 will signify  a calm ;
         1   "    '-     a barely perceptible breeze ;
         2   "    '-     a gentle breeze ;
         3   "    "    a moderate breeze ;
         4   "    "     a brisk breeze ;
         5   '<    "     a strong wind ;
         6   "    "     a very strong wind ;
         7   ««    "     a storm;
         8   "    "    a great storm ;
         9   "    "     a hurricane;
         10  "    "     a violent hurricane.
For example .-—should the wind  blow a brisk breeze from W. S.
  W., the expression in the Register would be W. S. W. 4.
                           CLOUDS.
  As several strata or currents of clouds often exist at different heights,
the direction and velocity of motion of the lowest stratum only will be
registered under the head of clouds, using the same expressions as in
registering the wind.  Thus,  should the clouds move briskly from
the S. W. the expression  would be S. W. 4, the letters denoting; the
direction, and the figure the velocity of the motion.
              x  6 
40                  MEDICAL REGULATIONS.

                             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 conve-
niently 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
perpendicularly 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 con-
tinue for any length of time, the quantity in the gauge will be measured
at suitable intervals, before the water rises high in  it, and the measure-
ments 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 substi-
tuted 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 entering, and  where no drift snow can be blown into it.  During
a continued snow storm, the snow may be occasionally pressed down.
The contents 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, especial-
ly sudden and simultaneous* changes of wind and temperature ; their
  * All atmospheric vicissitudes which seem to affect invalids unfavorably or other-
wise, and the supposed agency of climate in the causation and cure of disease,
will be noticed in the Quarterly Report of Sick.  (Form 10.) 
                    MEDICAL REGULATIONS.                 41

effect on the Barometer ; the moment of greatest depression of the
Barometer in the passage of storms; currents  of clouds moving in
different directions, 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 vegeta-
tion  ; the first appearance and departure of birds of passage ; thunder
storms, near or remote ; silent lightning, with its direction and eleva-
tion  above the horizon ; falls of hail, snow, and sleet;  fogs ; white or
hoa>r frost, &c.
   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.
                 SPECIAL OBSERVATIONS.
  Hourly Observations of the Barometer will be taken for 24 hours,
at the equinoxes and solstices, to correspond with those already insti-
tuted at numerous points of Europe and  America, at the suggestion
of Sir John Herschel.  The days fixed upon for these observations
are the 21st of March, June, September, and December.  But should
any one of these 21st days fall on Sunday, then the observations will
be deferred till the next day, the 22d.
  The observations at each station will commence at 6 o'clock, a. m.
of the appointed days, and  be  continued at the  beginning of each
hour till 6 a. m. of the following days, care being taken to obtain the
correct time.
  The exact maximum and minimum of temperature of the 24 hours
should be recorded, under the head of-'Remarks," at the precise hour
and minute at which they occur.
  The value of these  hourly observations will  be greatly enhanced,
if they be extended to all the objects embraced in the daily Register, 
42
MEDICAL REGULATIONS.
If there be a storm about those times, hourly observations of all the
phenomena, from the beginning to the end of the storm, will  also be
valuable.
  All special observations will be recorded separately.
  Connected  with meteorology are many interesting subjects of in-
quiry, which can only be elucidated  by wide-spread, simultaneous
observatiors.  The Medical Officers of the Army are therefore con-
fidently invited to co-operate in the collection of data tending to ad-
vance the interests of science.  For the accuracy of our observations,
(quoted as they will be both at home and abroad,) it is hardly neces-
sary to say, the reputation of the Department is pledged, 
CIRCULAR
>/
                             Surgeoit General's  Office,
                                             September 25, 1855.
 Sir:
   The hygrometer adopted by this Bureau, and now being distributed
 to  the military stations, 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 con-
 tained 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 con-
 stantly 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
 Buch accumulations, the use of filtered  rain or of distilled water is
 recommended. An extra quantity of silk  has been 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 necessary to
moisten it with cold water, about 15 or 20 minutes before the time
for making the observation; the evaporation from the film of ice thus
formed  being  slower than  that from water.  (See  Directions  for
taking Meteorological  Observations, published from this  office in
1844.)  When recourse is had to this special moistening of the bulb,
the fact will be noted in the column for remarks.
  For convenience, and to  secure an uniform exposure, the ther-
mometer and hygrometer, with separate graduated scales, have been
secured side by side in a box having a moveable lid.  For use the
box is to be suspended, and the lid removed.
  The introduction  of the  hygrometer, and the adoption of new
hours of observation, render some modification of the " Directions
for taking Meteorological Observations " necessary,  aud the follow-
ing are therefore published:

                            HOURS.

  The hours for taking meteorological observations  will hereafter
be, 7 A. M., 2  P. M., and 9 P.  M.

           BAROMETER AND ATTACHED  THERMOMETER.
  The directions published in the last edition of Medical Regulations,
will be followed in regard to  these  instruments at  those  stations
which are now, or may be hereafter, furnished with the syphon bar-
ometer of Bunten.  Special directions will be furnished  with  the
cistern barometer of Green, when issued.

               THERMOMETER AND  HYGROMETER.

  The directions now in force respecting the  position and exposure
of the thermometer will be observed in regard to these instruments,
both of which are to be read at the same time, and in the same man-
ner,  care being taken to  see  that the covering of the bulb of the
hygrometer is  wet.  One-third of the sum of the three daily obser-
vations will be registered as the daily mean.  The sum of the  obser- 
vations 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 correct-
ness 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.  *
                            WINDS.

  The direction and force of the winds will continue to 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 the aggregate of the numbers denot-
ing the force,  gives the sum of force 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 AND  SNOW.
   The directions  in  regard to observations  on rain and snow, pub-
lished in the last edition of Medical Regulations, will  continue to be
followed in every particular.
  The numerous  errors discovered in the "means" of thermomet-
rical observations, as  recorded in  the monthly registers, rendered
it  necessary to recompute  a large majority of the  original daily 
1
entries, in preparing the results  for  publication  in  the forthcoming
Meteorological Register.  These errors, aside from accidental ones
of addition,  consisted in erroneous expressions of fractional results.
I therefore  avail myself of this occasion to call the  attention of the
Medical Officers  to the  regulation  which requires fractions  to be
expressed in  decimals carried out two points, in order that their
registers in  this particular may hereafter be more correct.
                                          TH :  LAWSON,
                                     Surgeon General, U. S. Army.


  Note.—For convenient reference this Circular should be affixed to the volume
of Medical  Regulations, pages 42 and 43. 
Form 1.
REGISTER.
NAMES.	S si PS	D* u o O 0 c S , 5b O) 0(5	>> B a* a. s O O	Complaint.	T3 CD -a <	s ■a o 01 e s-a>	1-3 a) o> ra 01 Q	a* o ■> 1-0> DQ s o Jjjo o W s	i ■p. in o ^J u OJ C <L> bB O c a) W	J5 M> O <H a O	0) Q	REMARKS.
												
 
                          Form 2.

PRESCRIPTION BOOK, DIET BOOK, AND  DIET TABLE.
NAMES.	Sunday.	Monday.	Tuesday, i Wednesday.		Thursday.	Friday.	Saturday.
							
							
				i			
  The spaces in the  Prescription Book  are to be filled up with  the prescriptions 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, &<_■., the Surgeon will, from time to  time, 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 would  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 instructions 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. 
 
46
MEDICAL REGULATIONS.
Station
Lat.
             Form
METEOROLOGICAL
   Long.
185	Barometer.				i Thermometer attached.			
	Sun rise.	9 A.M.	3 P.M.	9 P.M.	! Sun rise.	9 A.M.	3 P.M.	9 P.M.
1								
2								
3								
4								
5								
6								
7								
8								
9								
10								
11								
12								
13								
14								
15								
16								
17								
18								
19								
20								
21								
22								
23								
24								
25								
26						i ;		
27								
28								
29						1		
30								
31								
Monthly Mean.								
 
MEDICAL REGULATIONS.
47
No. 3.

REGISTER.

  Jilt, of Bar. above
feet.
Thermometer Detached.
Sun
  9
A.M.
  3
P.M.
  9
P.M.

Daily
Mean.
Clearness of the Sky.
Sun
  9
A.M.
  3
P.M.
  9
P.M.
7 
48
MEDICAL REGULATIONS.

                  METEOROLOGICAL
Wind.
Sun
rise
  9     3
A.M.   p. m:
  9
P. M.
Clouds.
Sun
rise.
  9
A.M.
  3
P.M.
  9
P. M. 
MEDICAL REGULATIONS.
REGISTER.  (Continued.)
Rain.			REMARKS.
Began.	Ended.	duant'y	■
			
 
Station
                     Form 4.
    HOURLY METEOROLOGICAL REGISTER.

LaL                  LonS-                  All. Bar. above
feet.
 6 A. M.
 7
 8
 9
10
11
12 m.
 1 P. M.
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
 1 A. M,
 2
 3
 4
 5
Barometer.
Attached
Thermom.
Detached
Thermom.
Clearness
 of Sky.
Wind.
Clouds.
REMARKS.
can
©
Mean. 
                                        Form 6.
MUSTER ROLL of the Steward, Wardmaster, Cooks, Mirses, and Matrons, attached to a Hospital
NAMES.	Rank.	Enlistment. •		When attach-ed to, or en-gaged in the hospital or infirmary.	When last paid.	By whom last paid.	REMARKS.
		Date of	Period of				
	• j				*		
 
                                             Form 6.

  Muster and Receipt Roll of the medical attendants employed in the hospital at
of Doctor                   from  the         * day of        18    , to the
day of
under the direction
  18
  We, the subscribers, do hereby acknowledge to have received of               Paymaster in the Army of the U S
the sum set opposite our names, being in full of our pay for the time and services herein expressed.
No.
 S3 - oi

 E-S--S
 o •-■  s
r-\ 0>  0)
"w1 03  OJ
WPb
Pay per
month.
Dolls.
Pay per
  day.
Cts.
  Time for
which pay is
    due.
   Total
amount due.
Mos.
Days.
Dolls.
Cts.
Signer's
 names.
Witnesses.
Remarks.
  I certify that this muster roll is  accurate and just, and  exhibits a true state of the attendants attached to the hospital
under my charge ; and that they are entitled to the pay affixed to their respective names.
Mustered and countersigned this
day of
18
Surgeon.
Ox
Mustering Officer. 
                       Form 7.
ACCOUNT OF HOSPITAL STORES, FURNITURE, &c. ISSUED.
DATE.	o S	>-eS bo 3 02	b5	tt* a	>■>■ n eS • -	0) o U		o •8	<3			REMARKS.
	lbs.	lbs.	oz.	qts.	qts.	lbs.	&C.	&c.	&C.			
				>								
 
                                Form 8.


ACCOUNT OF CLOTHING, ARMS, EQUIPMENTS, &c, OF PATIENTS IN HOSPITAL.
Ox
rf-*
Date.	o	Names.	s si P5	« Oh o o F-o "s So CD	Company.	03 3 o O	03 o cS *->	02* "3 S-. 0) °	d 4	00	03 ^H o O. a	d	d =3	d =3				When delivered.	REMARKS.
																			Remarks will note to whom the articles were delivered; what money, &c, were left by those who die, and to whom they were given.
 
Form 9.
ACCOUNT OF FURNITURE, COOKING UTENSILS, BEDDING, &c, IN USE.
on=----,---------- No. of Ward or Kitchen.	03 a 3	03* M o 03 T3 a> PQ	03 a) •u -J"*! a*	03 0) a 3	03 0) a!	03 o o a,	03 > '3 M	03 tH o En	d 4	d 4										03 ■3	3 C 3	*-* xj cu ■•.-"■ O l * *>>;*« -^ to T3 —' d ^ o £ b i 3 03 ' h"**		REMARKS.
																								1 i i The remarks will state how articles have been lost, and ' by whom destroyed, i or the persons sus- i pected, &c. i ! ! 1
 
                                            Form 10.



QUARTERLY Report of the Sick and Wounded at
C3i
for the quarter ending
18
			TAKEN SICK OR RECEIVED							INTO			HOSPITAL DURING THE Q.UARTER																
REMAINING		LAST																											--
REPORT																													
												ERUPTIVE						DISEASES OF THE ORGANS CON-											
												FEVERS.						NECTED WITH THE											
				03	a CS -3	5	cci a CS											|											
				3	o	:-.	as			03																			
				S-	3	CD	3																						
				2	Gf	H	<3			o										11			3						
				o		m				CD										s			o						
	a CD o		Month.	O a 3 a a o O 00	a CD 1 CD 03	a CD s S-CD a	a CD s f-l CD a 03	a CD S CD P-5 03	03 3 -a Oh H 03	O 03 3 X O. >> H GO		03 *0J .Oh	"3 CD	3 a J5	"o	•3 "o		3	3 o	o — 8S Pm CD ■s a ca	3 8	3 3 < .5 'C CD a CD	a o Lh o i 3	3 '3 Oh CD	03	03 S*"i	03 CD CD "3	3 3 o 3	a o O 03 *3
				-5	X!	o	-*■"* -?		.O	.fl		""-»-2				s-		, o a c i ;					03 8 [« M					Uh	o.
				ID 1 CD		11			CD	CD		s- 3 g				ca		X oj>-,.5				r*>	>. >-.' c ec				■d	CD	CD
	rt	*3		ln]U,		Pn	(n^		h	fe		H P**, GQ !>				>		O 0,0,0				o	O Q		w o m n				ffi
		o		i								1 1						i 1 1											-
GO	o	H																							1 |				
			Grand Total.....				_					1 1						1 1 1 1											
 
	| Icterus.	
	| Obstipatio.	i 'IGESTIVE 1 SYSTEM.
	] Peritonitis.	
	| Tonsillitis.	
=-		
	| Asthma.	-* C/> V H-! IS H ^ 5 3 2 > * H O S3
	| Bronchitis Acuta.	
	| Bronchitis Chronica.	
	| Catarrhus.	
	| Haemoptysis	
	j Laryngitis.	
	| Phthisis Pulmonalis.	
	| Pleuritis.	
	| Pneumonia.	
		
—	| Apoplexia.	
	[ Cephalagia.	
	| Chorea.	
—	1 Delirium Tremens.	a
	| Epilepsia.	>
	| Mania.	x 2
	| Melancholia.	
	| Aleningitis.	' S!
	| Neuralgia.	ERVOUS
	| Paralysis.	
—	| Tetanus.	
		
	| Calculus.	H a S s c > - so c- «! v **"
	| Cystitis.	
	| Diabetes.	
	| Enuresis.	
	| Gonorrhea.	
	| Ischuria et Dysuria.	
	| Nephritis.	
—	| Orchitis.	
	| Strictura Urethra.	■ 3
	| Syphilis Primitiva.	n n r
	| Syphilis Consecutiva.	
	| Ulcus Penis non Syphiliticum.	
		
L£
•sNOTj,v*iaoau ivoiaaw 
1 | Anasar.	H "*S
| | Ascites.	< 5 a MSB
| Hydrocele.	x > c« x r w r" M 9 f « 2 H *j*
1 Hydrothorax.	
1 '1 I	
| Pernio.	THE FIBROUS j AND MUSCULAR STRUCTURES.
| | Podraga.	
| | Rheumatismus Acutus.	
| | Rheumatismus Chronicus.	
	
| Fistula.	ABSCESSES j AND 1 ULCERS. 1
| Phlegmon et Abscessus.	
| Ulcus.	
	
| | Ambustio.	WOUNDS AND INJURIES.
1 | Aniputatio.	
| Concussio Cerebri.	
1 | Contusio.	
1 Fractura.	
| | Luxatio.	
| | Punitio.	
| Subluxatio.	
| | Vulnus Incisum.	
| Vulnus Laceratum.	
| Vulnus Punctum.	
| Vulnus Sclopeticum.	
	
1 1 Amaurosis.	
| Aneurisma. | | Angina Pectoris.	
| Atrophia.	P
| | Cachexia.	o
| Debilitas.	s
| Ebrietas.	1 ^
1 Exostosis.	2
| Hoemorrhois. 1 Hemeralopia et Nyctalopia.	i w
| Hernia.	
| | Morbi Cutis.	
1 Morsus Serpentis. | Necrosis.	
SMOn-v-inoaH avoiaaK
8S 
Odontalgia.
Opthalmia.
Otitis.
Pericarditis.
| Prolapsus Ani.
| Schirrus.
| Scorbutus.
| Scrofula.
| Splenitis.
Suicidium.
Toxicum.
Varix.
Vermes.
Morbi Varii'
Total.
	Aggregate.		
		Sent to General Hospital.	
		Returned to duty.	
		On Furlough.	
		Discharged Service.	
		Deserted.	
		Dead.	
	Sick. Convalescent	•	
			> 3
	Total.		3 p
o
6S
sNou.v7aoaH ivoiaaw 
MEDICAL REGULATIONS.

Form 10.—Continued.

MEAN STRENGTH.
Month.	Officers.	a CD -3 CD m c3	Total.
			
Aggregate.			
     Average.

  In regard  to this Report, the utmost punctuality in  every respect
will be exacted.   It will be accompanied with general observations
upon the Medical Topography of the  station in reference to the cli-
mate, the prevalent diseases,  their peculiar  character and supposed
causes, and  the treatment adopted.  All  cases of an unusual nature
will be reported in detail, as recorded in the case book.   The require-
ments in regard to the "Discharges and Deaths," will also be strict-
ly obeyed.   The diseases of women and  children, if given, must be
stated separately.   During military operations  in the field, it will be
the  duty of  the Medical Director to furnish a quarterly abstract from
his monthly  reports.
  These reports are to be made out  in the handwriting of  the Sur-
geon, and they must be prepared and  forwarded to this office within
five days after they become due.
  All cases of disease—those in  quarters as  well as in hospital—will
be reported.  Designate also  the number accommodated in hospital.
No  duplicate of this report is required. 
     Form 10.—Continued.

DISCHARGES AND DEATHS.
Names.
Rank.
Regiment or Corps.
Company.
Disease
Discharged from Ser-
       vice.
Died.
Remarks. 
Form 11.
MORNING .REPORT OF THE SURGEON OF A REGIMENT, POST OR GARRISON;
	COMPANY.	REMAINING AT LAST REPORT.		O 'm a CD	TOTAL.		3 13 O •-3 CD a CD Ch	"3 CD s? nS -a o to Q	"3 'S. 03 O "3 CD a CD be o a CD 72	■3 CD s	REMAINING.		REMARKS.
DATE.		"3 'a. 03 O ,•3	03 t. CD U «S §< a HH		'o, o a i—i	In quarters.					In hospital.	In quarters.	
													
 
                                      Form 12.

MONTHLY  REPORT OF RECRUITS examined by
                    month              ending
CO
	NAME.	WHERE BORN.		
DATE.		Town or county.	State or kingdom.	Age.
	s			
for the
day of
18
Profession.
REMARKS.
 The remarks
will  state  the
cause of reject-
ing  any  who
are examined,
&c. &c.
Surgeon. 
                                       Form 13.                                          en



ANNUAL REQUISITION FOR MEDICINES, INSTRUMENTS, HOSPITAL STORES, FURNITURE, &c.
ARTICLES AND CHARACTERS, OR QUANTITIES.	a _o "8 1 CD hi t» 3 ■3 3 ,3 S O	a o xa '3 O* CD tn 00 CD O .3 03 T3 CD S> '53 o CD Pi	*3 o H	'a CD '1 T3 CD ■3 a CD Oh	Issued. ; 1	Lost,destroyed,worn out,&c. 1	Total.	X) a aS a O	■3 CD S-i '3	Remarks.
					«					.
 
                            Form  14.

RECIUISITION FOR EXTRA SUPPLIES OF MEDICINES, &c.
Requisitions for Medicine,  (hospital stores, &c.,) required at                      for

           Acet:  plumbi lbs. i.
           Pulv.  cinchonse lbs. x.
                 &c. «fec.
                 &c. &c.

           J 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 15.

ACCOUNT FOR MEDICINES, &c, Purchased by a  Surgeon or an officer  of the  Quartermaster's  Department.
The United States,
To A. B.
Acet:  plumb ; lb: 1 at 50  cts.
Pulv;  cinhon :  lbs : x.  at  $2,
&c, &c., &c,
       J" certify,  That the articles above charged, for the use  of the sick  at
the foregoing requisition, and that the charges are reasonable and just.
Received
18
of
Dr.
$    50
  20 00
                                           are agreeable to


                                                 Surgeon.


dollars and        cents, in full of the above acccount


                                                    A.  B.
Note__The above certificate may be signed by the Surgeon making the requisition, or by any Surgeon, or Assistant Surgeon, belonging to the army. 
	H o f IS 53 S t" fc 3 2 >• H » c« > • o 1-3 B So o ■s
	On hand at last return.
	Received since last retnrn.
	Total.
	Expended with the sick.
	Issued.
	Lost or destroyed by unavoid-able accident.
	Worn out, or unfit for use.
	Total expended, &c.
	On hand.
	Remarks.
3
w
ui



Ul
H
to
a


H



GO



o
CO





r

Ul
H
o


pa
02




fa


H
a
19
sNouvinoaa ivoiaajA* 
                           Form 17.
REPORT TO BE SENT WITH PATIENTS TO A GENERAL HOSPITAL.
NAMES.	Rank.	Company.	Regiment or Corps.	Date of ad-mission into the Hospital.	Complaints.	REMARKS.
					>»	The remarks will give some account of every im-portant case, of the prac-tice adopted, &c.
 
Medical regulations
69
                          . Form 18.
             Surgeon's Certificate of Ordinary Disability.
  1 hereby certify, That             , a            of company,
[  ]             Regiment of United States             is incapable
of performing the duties of a soldier, for the following reasons :
  (Here give a particular description of the injury or disease, stating
the time, place and manner of its occurrence.)
  And I further certify, that during the last two months, the said
Invalid  has been under medical treatment by me,            days *,
and in the hospital,             days :   And therefore, in the opinion
of the undersigned, the interest of the service requires that he should be
discharged  from the Army.
  Given at            this             day of             18

                                                      Surgeon.
                           Form 19.
                  Surgeon's Certificate for Pension.
  I hereby  certify, That  by satisfactory evidence and  accurate
examination, it appears that on the             day of
18  , the above named            of Captain             's Com-
pany  [  ]              Regiment of             at or near a place
called             in  the State of             while actually in the
service, and in the line of his duty, received a            to wit:
  (Here give a particular description of the wound or injury received
or disease contracted, and state the immediate cause of disability.)
and he is, therefore, in the opinion of the undersigned,
disabled, from obtaining his subsistence.
  Givejj, at             this    day of            18  .
                                                      Surgeon.

  N. B.  The last blank is to be filled with the degree of disability as,
"one half," "two thirds," &c. 
 70                  MEDICAL regulations.

                            Form 20.
                 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 an Assistant Surgeon, 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 in force during the pleasure of the parties.
                                                        [Seal.]
  Signed, sealed and delivered
           in presence of                                 [Seal.]

  I certify that the number of persons entitled to  medical attendance
agreeably to  paragraph 82, at             is             and  that
 no competent physician can be obtained at a lower rate.
                                            Commanding Officer. 
 
/ 
*..
.*"**
%
 
m*
'•£ '^#$