MEDICAL DEPARTMENT THE ARMY. WASHINGTON: A. O. P. NICHOLSON, PCI5LIC PRINTER 1856. ?.O.O.C.OOOrO^OMQP^P^wQp^^^^ ■U.S. S-&-0 REGULATIONS FOR THE l<_. MEDICAL DEPARTMENT. i 11. Medical disbursing officers a\H1, at the end of each fiscal quar- ter, render to the Surgeon, General, in duplicate, a quarterly account current of moneys received and expended, with the proper vouchers for the payments, and certificates that the services haA'e been ren- dered, and the supplies purchased and received, for the medical ser- vice ; and transmit to him an estimate of the funds required for the next quarter. 12. The senior medical officer of a hospital will distribute the patients, according to convenience and the nature of their complaints, into Avards or divisions, under the particular charge of the several assistant surgeons; and will visit them himself each day as frequently as the state of the sick may require, accompanied by the assistant, wardmaster, and nurse. 13. His prescriptions of medicine and diet are written down at once in the proper register, with the name of the patient and the number of his bed; the assistants fill up the diet table for the day, and direct the administration of the prescribed medicines. He will detail an assistant surgeon to remain at the hospital day and night, when the state of the sick requires it. 14. In distributing the duties of his assistants, he will ordinarily require the aid of one in the care and preparation of the hospital reports, registers, and records, the rolls, and descriptive lists; and of another in the charge of the dispensary, instruments, medicines, hos- pital expenditures, and the preparation of the requisitions and an- nual returns. 8 REGULATIONS FOR THE 15. He will enforce the proper hospital regulations to promote health and prevent contagion, by ventilated and not crowded rooms, scrupulous cleanliness, frequent changes of bedding, linen, &c. 16. He will require the steward to take due care of the hospital stores and supplies; to enter in a book, daily, (Form 5,) the issues to the Avardmasters, cooks, and nurses; to prepare the provision returns, and receive and distribute the rations. 17. He Avill require the Avardmaster to take charge of the effects of the patients; to register them in a book, (Form G ;) to have them num- bered and labelled with the patient's name, rank, and company; to receive from the steward the furniture, bedding, cooking utensils &c, for use, and keep a record of them, (Form 7,) and hoAv distributed to the wards and kitchens; and once a week to take an inventory of the articles in use, and report to him any loss or damage to them, and to return to the steAvard what are not required for use. 18. The cooks and nurses are under the orders of the Avardmaster; he is responsible for the cleanliness of the Avards and kitchens, patients and attendants, and all articles in use. He will ascertain who are present at sunrise, and sunset, and tattoo, and report absentees. 19. At surgeon's call the sick then in the companies Avill be con- ducted to the hospital by the first sergeants, who will each hand to the surgeon, in his company book, a list of all the sick of the company, on which the surgeon shall state who are to remain or go. into hos- pital ; who are to return to quarters as sick or convalescent; Avhat duties the convalescents in quarters are capable of; what cases are MEDICAL DEPARTMENT. 9 feigned; and any other information in regard to the sick of the com- pany, he may have to communicate to the company commander. 20. Soldiers in hospital, patients, or attendants, except stewards, shall be mustered on their company rolls, if present at the post. 21. When a soldier in hospital is detached from his company so as not to be mustered with, it for pay, his company commander shall certify and send to the hospital his descriptive list, and account of pay and clothing, containing all necessary information relating to his accounts with the United States, on which the surgeon shall enter all payments, stoppages, and issues of clothing to him in hospital. When he leaves the hospital, the medical officer shall certify and remit his descriptive list showing the state of his accounts. If he is discharged from the service in hospital, the surgeon shall make out his final statements for pay and clothing. If he dies in hospital, the surgeon shall take charge of his effects, and make the reports required in the general regulations concerning soldiers who die absent from their companies. 22. Patients in hospital are, if possible, to leave their arms and accoutrements with their companies, and in no case to take ammuni- tion into the hospital. 23. When a patient is transferred from one hospital to another, the medical officer shall send with him an account of his case, and the treatment, (_\\^£>) 24. The regulations for the service of hospitals apply, as far as practicable, to the medical service in the field. 2 10 REGULATIONS FOR THE 25. The senior medical officer of each hospital, post, regiment, or detachment, will keep the following records, and deliver them to his successor: a register of patients, (Form 8 ;) a prescription book, (Form 9 ;) a diet boot, (Form 9 ;) a case "book; a meteorological i-egister, (Form 10;) copies of his requisitions, annual returns, and quarterly reports of sick and Avounded; and an order and letter book, in which Avill be transcribed all orders and letters relating to his duties. 26. He will make the muster and pay rolls of the hospital steward and matrons, and of all soldiers in hospital, sick, or on duty, detached from their companies, (Form 11.) 27. He Avill make the rolls of the cooks and nurses for extra duty pay; which will be paid by the quartermaster, in the absence of a medical disbursing officer, as in other cases of expenditures for the medical department, (Form 12.) 28. He Avill select the hospital attendants with the approval of the commanding officer. They will be exempt from other duty, but shall, e_tcept stewards, attend the parades for muster and weekly inspections of their companies,, at the post, unless specially excused by the com- manding officer. They will be removed only .by request of the medical officer, or for misbehaviour, or other special reason, which the commanding officer shall report to the Adjutant General. 29. Ordinarily, hospital attendants are allowed as follows : to u general hospital two stewards—one of them to do the duty of ward- master, one nurse to ten patients, one matron to twenty, and one cook to thirty ; to a hospital where the command exceeds'five com- MEDICAL DEPARTMENT. 11 panies, one steAvard and wardmaster, one eook, two matrons, and four nurses ; to a post or garrison of one company, one steAtald and ward- master, one nurse, one cook, and one matron; and for every tAvo companies more, one nurse; at arsenals where the number of enlisted men is not less than fourteen, one matron is alloAvcd. The stewards, cooks, and nurses, will be taken from the privates. When a suitable steAvard cannot be got from the command, the. medical officer may recommend a qualified person to the commanding officer to be. enlisted. When so enlisted he must be borne on the roll of some company, 30. Medical officers where on duty Avill attend the officers and en- listed men, and the servants and laundresses authorized by law ; and at stations where other medical attendance cannot be procured, and on marches, the hired men of the army, and the families of officers and soldiers. Medicines will be dispensed to all persons entitled to medical attendance ; hospital stores to enlisted men. 31. Medical officers in giving certificates of disability, (Form 13,) are to take particular care in all cases that have not been under their charge ; and especially in epilepsy, convulsions, chronic rheumatism, derangement of the urinary organs, opthalmia, ulcers, or any obscure disease liable to be feigned or purposely produced; arid in no case shall such certificate be given until after sufficient time and examina- tion to detect any attempt at deception. 32. In passing a recruit the medical officer is to examine him stripped; to see that he has free use of all his limbs ; that his chest is ample; that his hearing, vision, and speech arc perfect; that be has no tumors, or ulcerated or extensively cicatrized legs ; uo rupture 12 REGULATIONS FOR THE or chronic cutaneous affection ; that he has not received any con- tusion, or wound of the head, that may impair his faculties; that he is not a drunkard; is not subject to convulsions; and has no infectious disorder, or that may unfit him for military service. 33. Medical officers attending recruiting rendezvous will keep a record (Form 14) of all the recruits examined by them. Books for this purpose will be procured by application to the Surgeon General, to whom they will be returned when filled. 34. As soon as a recruit joins any regiment or station, he shall be examined by the medical officer, and vaccinated when it is required. 35. The senior medical officer of each hospital, post, regiment, or detachment, will make monthly to the medical director, and quar- terly to the Surgeon General, a report of sick and Avounded, and of deaths, and of certificates for discharge for disability, (Form 15;) and transmit to him monthly a copy of the meteorological register, jq (Form^) and a copy of the "statement of the hospital fund" (part of Form 3, Subsistence Regulations.) 36. After surgeon's call, he Avill make a morning report of the sick to the commanding officer, (Form 16.) 37. Every medical officer Avill report to the Surgeon General, and to the medical director, the date Avhen he arrives at a station, or leaves it, and his orders in the case, and at the end of each month whenever not at his station, whether on service or on leave of absence, and Avhen on leave of absence his post office address for the next month. MEDICAL DEPARTMENT. 13 38. The medical director will make to the Surgeon General a monthly return of the medical officers of the command, (Form 17,) and a consolidated monthly report of the sick and Avounded, (Form 15,) from the several reports made him. 39. When it is necessary to employ a private physician as medi- cal officer, the commanding officer may do it by written contract, conditioned as in Form ^tK at a stated compensation not to exceed S50 a month Avhen the number of officers and men, with authorized serA-ants and laundresses, is 100 or more; $40 when it is from 50 to 100, and S30 when it is under 50. 40. But when he is required to abandon his own business, and give his Avhole time to the public service, the contract may be not to exceed $80 a month; and not to exceed $100, besides transportation in kind, to be furnished by the quartermaster's department, where he is required to accompany troops on marches or transports. But a private physician will not be employed to accompany troops on marches or transports, except by orders from the War Department, or in particular and urgent cases by the order of the officer directing the movement; Avhen a particular statement of the circumstances which make it necessary, will be appended to the contract. 41. And Avhen a priA^ate physician is required to furnish medicines, he will be allowed, besides the liquidated pay, from 25 to 50 per cent, on it, to be determined by the Surgeon General. 42. In all cases, a duplicate of the contract will be transmitted forthwith by the commanding officer to the Surgeon General; and 14 REGULATIONS FOR THE the commanding officer for the time being will at once discontinue it, whenever the necessity for it ceases, or the Surgeon General may so direct. 43. The physician's account of pay due must be sent to the Sur- geon General for payment, vouched by the certificate of the com- manding officer, that it is correct and agreeable to contract, and that the services have been duly rendered. But when it cannot conve- niently be submitted to the Surgeon General from the frontier or the field, it may be paid on the order of the commanding officer, not to exceed the regulated amount, by a medical disbursing officer, or a quartermaster. 44. When medical attendance is required by officers or enlisted men on service, or for the authorized servants of such officers, and the attendance of a medical officer cannot be had, the officer, or if there be no officer, then the enlisted man, may employ a private physician, and a just account therefor will be paid by the medical bureau. 45. The account will set out the name of the patient, the date of a__dic_iargE,_br seach: visit and for medicines. The physician will make a certiftca^.tp,,^.account in case of an officer, or affidavit in the case of an enlisted man, that the account is correct and the charges are the customay charges of the place. A 46. The officer will make his certificate, or the enlisted man his affidavit, to the correctness of the account, that he was on service at the place, and stating the circumstances preventing him from receiv- ing the services of a medical officer. MEDICAL DEPARTMENT. 15 47. When the charge is against an officer, he will pay the account if practicable, and transmit it to the medical bureau for reimburse- ment; in all other cases the account will be transmitted to the medical bureau for settlement. 48. If the charge is against a deceased officer or enlisted man, the physician will make affidavit, before required, to the account, and that he has been paid no part of it. 49. No charges for consultation fees will be paid by the medical bureau, nor will any account for medical attendance or medicines be paid, if the officer or enlisted man be not on service. MEDICAL DEPARTMENT. 17 EXTHAHTS FROM THE GENERAL REGULATIONS CONCERNING APPOINTMENTS AND PROMOTIONS. A board of not less than three medical officers will be appointed from time to time by the Secretary of War, to examine applicants for appointment of assistant surgeons, and assistant surgeons for pro- motion. And no one shall be so appointed or promoted, until so examined and found qualified. The board will scrutinize rigidly the moral habits, professional acquirements, and physical qualifications of the candidates, and report favorably, cither for appointment or promotion, in no case admitting of a reasonable doubt. The Secretary of War Avill designate the applicants to be examined for appointment of assistant surgeon. They must be between 21 and 28 years of age. The board will report their respective merits in the several branches of the examination, and their relative merit from the Avhole; agreeably Avhereto, if vacancies happen within two years thereafter, they Avill receive appointments and take rank in the medical corps. When an assistant surgeon has served five years, he is subject to be examined for promotion. If he decline the examination, or be found not qualified by moral habits or professional acquirements, he ceases to be a medical officer of the army. An applicant for appointment failing at one examination, may be alloAved a second, after two years; but never a third. 3 MEDICAL DEPARTMENT. 19 STANDARD SUPPLY TABLE. MEDIC Acacia;..........................lb. 4 Acidi, acetici.....................lb. h ------arseniosi (arsenic).........oz. £ ■ benzoici...................oz. 1 ------citrici......................lb. 1 ------mutiatici...................lb. ± ------nitrici......................lb- 1 ------sulphurici..................lb. 1 ---------------aromatici.........lb. 1 ------tannici....................oz. 2 ------tartarici....................lb. 2 _Etheris sulphurici loti.............lb. 2 Alcoholis......................cong: 5 Aloes............................oz. 4 Altiminis.........................>b. 1 Ammoniaci......................lb. 5 Ammonia: carbonatis............ oz. 8 ---------muriatis................lb. £ Anthemidis.......................lb. 1 Antimonii et potassa:, tart., (in crystals).......................oz. 3 Argenti nitratis...................oz. 2 Arnica*.......................... lb. 1 Assafoetidae.......................oz. 4 Bismuthi subnitratis..............oz. 4 Camphors........................lb. 2 Cantharidis.......................oz. 2 Cardamomi.......................oz. 8 Catechu..........................lb. £ Cerae flava:........................lb. 2 Cerati resinae.....................lb. 2 ------simplicis...................lb. 8 ------zinci carbonatis............lb. 2 Collodii..... ....................oz. 2 Colombae.........................lb. £ Copaiba;..........................lb. 5 Creasoti..........................oz. 2 Cretan pracparata;..................lb. 1 Cupri sulphatis .................oz. 2 Diosma:..........................lb. J EmpUstri adlKcsivi..............yds. 5 INES. Emplastri cantharidis............ lb. _ ---------ferri....................lb. 1 ---------hydrargyri..............lb. i Extracti belladonna;..............oz. 2 --------colocynthidis comp:......oz. 8 --------conii....................oz. I --------glycyrrhiza:..............lb. 6 --------hyoscyami ..............oz. 2 --------piperis fluidi.............oz. 1 --------sarsaparilla: fluidi.........lb. 2 --------valerians; fluidi..........oz. 8 Ferri iodidi.......................oz. 2 -----pulveri*....................oz. 2 -----et quiniae citratis...........oz. 4 -----sulphatis...................oz. 2 Gambogiae........................oz. J Gentians;.........................lb. 1 Glycyrrhiza;.................... .lb. 1 Guaiaci resina;....................lb. \- Hydrarg: chloridi, corrosici........oz. 3 ----------------mitis (cal.)......lb. I --------cum creta................lb. £ --------iodidi....................oz. 1 --------oxidi rubri...............oz. 1 [odini............................oz. 2 Lini..............................lb. 4 Liquoris ammonia;................lb. 4 --------t'erri iodidi..............lb. 1 --------potassa; arsenitis.........oz. 2 --------sodae chlorinatae.........hot. 6 Magnesia;.........................lb. j ---------sulphatis................lb. 25 Massa; pilulae hydrargyri...........oz. 8 Mellis despumati.................lb. 2 Morphias sulphatis...............drm. Myrrhce ........................--lb. | Olei anisi........................oz. / ----cajcputi.....................oz. .' ---caryophylli..................oz. , ----cinnaniomi..................oz. » ----inenlha" piperita.............oz. *-* 20 SUPPLY TABLE. Olei morrhua:....................bot. 8 ----oliva?......................bot. 8 ----origani.......................oz. 4 ----ricini....................qt. bot. 12 ----terebinthina:............qt. bot. 4 ----tiglii.......................dnn. 2 Opii..............................lb. 2 Picis abieti........................lb. 1 Plumbi acetatis...................lb. 1 Potassa; acetatis..................lb. 1 --------bicarbonatis..............lb 1 --------bitartratis...............lb. 3 --------chloratis.................lb. a --------nitratis...................lb. 1 --------sulphatis.................lb. a Potassii cyanureti...............drm. 1 --------iodidi....................oz. 8 Pruni virginiame..................lb. 2 Pulveris capsici...................lb. 1 -------cinchona;.................lb. 1 -------cubeba:...................lb. 1 -------ipecacuanha:............. lb. 1 --------------------etopii........lb. i -------jalap;t>....................lb. i ------- lini.......................lb. 8 ------- rhoi.....................lb. 1 -------sabiusc.................. oz. 2 -------sinapis nigra;.............lb. 6 -------ulmi......................lb. 2 Quassia:..........................lb. i CAuinia: sulphatis..............oz. 2 to 12 Rhei.............................lb. i Sacchari.........................lb. 20 Saponis...........................lb. 4 Scilla:............................oz. 4 Senega;........................oz. 4 Senna;............................Hi. 1 Serpentaria; ......................lb. £ Soda; bicarbonatis.................lb. 2 -----boratis......................lb. i -----et potassa; tartratis..........lb. 3 Spigeliae...........................lb £- Spiritus ammonia; aromatici......oz. 2 --------aetheris compositi.........lb. \ --------aetheris nitiici............lb. 2 --------lavanduhe compositi......lb. 1 --------vini gallici..............bot. 24 Strychnia:......................drm. 1 Sulphuris ioti.....................lb. 2 Syrupi scilla;......................lb. 3 Tincture, aconiti radicis...........lb. 1 ---------chloroformi............lb. 1 ---------colchici seminis.........lb. 1 ---------digitalis.................lb. j ---------ergotcc..................lb. | ---------ferri chloridi............lb. a Unguenti hydrargyri ..............lb. 1 -------------------nitratis.......lb. a Veratriaa........................drm. 1 Zinci sulphatis...................oz. 2 INSTRUMENTS TO EACH MILITARY POST. Cupping glasses or tins...........No. 10 Dissecting, (with cosiatome and enterotome)....................sets 1 Lancets,. pring. (four extra fleams tu each lancet).................No. 1 Lancets, thumb, (with cases).....No. 4 Obstetrical......................sets 1 Pocket...........................sets 1 Pullies...........................sets 1 Scarificators......................No. 2 Splints, (assorted and packed it: one * case)...........................sets 1 Stethoscope......................No. 1 Stomach pump, and case.........sets I Syringes, enema, (one 4 oz, one 12 oz.).........................No. 2 Syringes, penis, (2 glass, 6 metallic).No. _ Syringes, vagina, (2 glass, 1 me- tallii)..........................No. 3 Teeth extracting, (key and 3 claws gum lancet, straight and curved forceps)........................SRts 1 Tourniquets, (field 4, spiral 1) ....No. 5 Trusses, hernia..................No. 3 MEDICAL DEPARTMENT. 21 In addition to the above, each medical officer will be supplied Avith a complete set of amputating and trephining instruments, a case for general operations, and a pocket case, which he will retain in his immediate possession so long as he remains in the army, and for the complete and serviceable condition of which, at all times, he will be held responsible. The case for general operations a\ rill contain, metacarpal saAV; trocar ; ball, gullet, artery, and dressing forceps; two scissors, (curved and straight;) aneurism needle, (one handle, one sharp and three blunt needles;) twelve surgeon's needles; tourniquet; small amputating knife; small catling; three bistouries, (one straight, two curved, sharp and probe pointed;) hernia knife; three scalpels; cataract needle; cataract knife; tenaculum; double hook; six bougies of steel, silvered, Avith double curve, (Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11 and 12;) six Avax bougies, (Nos. 2, 4, 6, 8, 10, 12 ;) three silver catheters, (Nos. 3, G, 9;) six gum elastic catheters, (Nos. 1, 3, 5, 7. 9, 11.) COOKS. Anatomy....................................copy.. One to each post or regiment. Surgery.....................................do.......Do.......do.......do.... Medical practice..............................do.......Do.......do.......do.... Dispensatory.................................do.......Do.......do.......do.... U. S. Pharmacopoeia..........................do.......Do.......do.......do.... Ellis's Medical Formulary.....................do.......Do.......do.......do,... Chemistry....................................do.......Do.......do.......do.... Medical Jurisprudence and Toxicology........do.......Do.......do.......do.... Obstetricy....................................do.......Do.......do.......do.... Medical Dictionary...........................do.......Do.......do...... do.... -------Journals.............................No............................... Meteorological Directions...................copy.. One to each post or regiment. Regulations for Medical Department...........do.......Do.......do.......do.... giail]5.......................................No... Two to each post or regiment. qxs6........................................do... One.........do.......do.... •>} SUPPLY TABLE. Meteorological Register......................copy.. Order and letter..............................No... Prescription.................................copy . Regit tr......................................do... Requisitions.............................. 1 Returns.................................. }• .do.. Reports of sick and wounded.............. J One to each post or regiment. ....Do.......do.......do.... ___Do.......do...... do.... . ...Do.......do.......do.... .Do. .do. .do.. Arrow-root........................lb. _ Barley............................lb. 20 Carrageen........................lb. 1 Cinnamon........................lb. -' Cloves...........................oz. 4 Farina...........................lb. . Ginger, ground (Jamaica)..........lb. 1 HOSPITAL STORES. Nutmegs.........................oz. 4 Rum, (or American whiskey, pure) bottles of......................doz. 2 Tamarinds...................lb. 6 to 15 Tea..............................lb. 20 Wine, bottles of.................doz. 3 Bedstead, iron..............No. 6 to 10 Bed sacks.. ................No. 10 Blankets, woollen...........No. 10to20 Coverlets....................No. 10 Mattresses..................No. 2 BEDDING. Musquito Bars...................No. Gutta Percha Cloth..............yds. 4 Pillow cases.....................No. 25 -----ticks......................No. 10 Sheets...........................No. 40 FURNITURE, Bandages, suspensory, (assorted)..No. 4 Binders' boards..................No. 4 Cocks, wine, &c.................No. 2 Corks, assorted..................doz. 12 f to a post.. 1 '"' . to a regt.. Cotton batting.....................lb. Flannel..........................yds. Funnels, glass...................No. --------tin.....................No. i to a post.. '" I to a regt.. Corkscrews Hatchets. [Jones...........................No. ; to a po.t.. ! to a regt.. to a post.. to a regt.. Linen...........................yds. Lint.......,......................lb. Inkpowder, papers of. Inkstands............. DRESSING, &c. Measures, graduated, (6 oz.,2 oz., and minim)........................No. 3 --------tin...................sets 1 Medicine chests..................No. --------cups 2, and glasses 1....No. 3 „... „. C to a post.. 1 Mills, coffee............< ( to a regt.. 2 Mortars and pestles, glass.........No. 1 ------------------iron.........No. 1 ------------------wedgewood .No. 1 Muslin..........................yds. 25 Needles, sewing.................No. 25 Pans, bed (pewter)......{ ' ** I to a regt.. 2 Paper, envelope...............quires 2 ----- filtering................quires £ ----- wrapping...............quires 10 clua post.. 10 ----- writing, qrs......\ F < to a regt.. 15 MEDICAL DEPARTMENT. 23 Pencils, hair....................No. 12 Pens, steel......................doz. 2 Pill boxes.....................papers 3 — machine.....................No. 1 Pins..........................papers 2 Quills...........................No. 25 Rain gauges.....................sets 1 Scales and weights, apo- r to a post.. 1 thecary's, sets of......( to a regt.. 2 Scales and weights, shop.........No. 1 Scissors........................No. 2 Sheep skins, dressed..............N. 4 Silk, surgeon's...................oz. £ ---green....................... yd. I Spatulas.........................No. 3 Sponge..........................lb. i Tap borers.......................No. Tape, linen....................pieces 4 Thermometers and hy-1 to a post.. 2 promoters............. to a regt.. 3 ( to a post.. 2 Thermometer cases .... J . to a regt.. 3 Thread, linen.....................oz. 4 Tiles............................No. 2 Tow........................ ....lb. 2 Towels..........................No. 20 Twine...........................lb. 1 Urinals..........................No. 2 Vials, assorted..................doz. 6 • _ro,, s_ ( to a post.. 1 Wafers (i oz.) boxes.... 5 . to aregt.. 2 Wax, sealing..................sticks 3 REMARKS.' The quantities of medicines, hospital stores, and dressings here given, are estimated for one hundred men for one year, and from them all requisitions are to be calculated; but any less quantity may be required, or any article omitted, at the discretion of the medical officer. The following deductions Avill be made on large supplies, viz: 10 per cent, on those for three and four hundred men; 15 per cent, on those for five and six hundred men; 20 per cent, on those for seven and eight hundred men; and 25 per cent, on those for one thousand men. , If the necessary articles of hospital furniture cannot be furnished from the hospital fund, they may be procured as follows, from a quartermaster or a medical disbursing officer, by special requisition, (Form 2 :) ARTICLES. Basins, wash. Bowls. Brushes. Buckets. Candlestick.. Clothes-lines. Cups. Dippers and ladles, Graters. Gridironi. 24 SUPPLY TABLE. Kettles, tea. Knives and forks. Lamps and lanterns. Locks and keys. Mugs. Pans, frying. —•■- sauce. Pitchers. Plates and dishes. Pots, chamber and chair. ----coffee and tea. Sadirons. Shovels, fire. Snuffers. Spoons. Tongs and pokers. Tumblers. Woodsaw. MEDICAL DEPARTMENT. 25 METEOROLOGICAL OBSERVATIONS. The following "Directions for taking Meteorological Observations" will be observed, in all respects, with the utmost strictness and regu- larity. The senior medical officer on duty at each military station is responsible for the accuracy of the Meteorological Observations made at the station, and Avill sign each Register. Within five days after the close of each month, a fair copy of the Meteorological Register (Form No. 10) will be transmitted, under cover, addressed directly to the Surgeon General. DIRECTIONS. Observations of the barometer, with its attached thermometer, of the thermometer (detached) and hygrometer, of the direction and force of the Avind, and of the weather, Avill be made at 7 a. m., 2 p. m., and 9 p. m. At every fall of rain, snow, hail, or sleet, the time of its com- mencement and end will be recorded, and the quantity which fell, as indicated by the rain gauge, 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, 4 26 METEOROLOGICAL OBSERVATIONS. At the end of the month, add up each column of figures on the Register under the heads of " Barometer," and " Thermometer Attached," and divide the sum by the number of days on which observations were made. The quotient will be placed at the foot of each column, upon the line marked " Monthly Mean." One-third of the sum of the three daily observations of the ther- mometer and hygrometer, willbe registered as the daily mean. The sum of the observations recorded in the 7 a. m., 2 p. m., and 9 p. m. columns, divided by the number of observations made during the month at those hours respectively, will give the monthly mean for each of those hours; and one-third of the sum of these three mean results is to be recorded as the average mean for the month. The correctness of this last result is to be proved by adding the "daily means," and dividing by the number of days of observation; the two results should approximate ATery closely, if the additions and divisions have been correctly made. The " Quantity of Rain" Avill 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 _avo points. BAROMETER AND ATTACHED THERMOMETER. The barometers noAv in use by the Department are the syphon, of Bunten, and the cistern, of Green. Special directions for observing those instruments respectively, will be issued Avith each barometer, or Avill be furnished to the medical officers on application to the Surgeon General. MEDICAL DEPARTMENT. 27 THERMOMETER (DETACHED.) The thermometer Avill 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 Avails, 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. HYGROMETER. The hygrometer adopted by this Department consists essentially of a thermometer, the bulb of which is covered with floss silk enclosed in a piece of thin muslin, the ends of the silk sufficiently long to dip into Avater contained in a brass reservoir secured immediately below the bulb. In the top of this reservoir is a small opening to admit the silk, and to the front is attached a cylinder communicating with the interior by a small hole. The reservoir is to be kept always sup- plied Avith Avater poured into it through the cylinder, and the bulb Avill be constantly moistened by capillary absorption. Should the floss silk become incrusted with saline particles, or Avith dirt, it may be cleaned by gently syringing it with Avarm 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, Avhen it may be freely rinsed, and the sediment detached with a feather introduced through the opening in the top. To prevent such accumulations, the -use of filtered rain or of distilled water is rec.nmi.nded. An extra 28 METEOROLOGICAL OBSERVATIONS. quantity of silk has been issued Avith each instrument, and if it be found necessary to apply a new covering to the bulb, it may be readiy 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 fonvard, it will not be necessary to remove the reservoir in order to apply a new cover. In freezing AA-eather, when the covering of the bulb remains dry, it will be necessary to moisten it Avith cold Avater, about fifteen or tAventy minutes before the time for making the observation ; the evaporation from the film of ice thus formed, being slower than that from water. When recourse is had to this special moistening of the bulb, the fact Avill be noted in the column for remarks. The directions respecting the position and exposure of the ther- mometer, will be observed in regard to the hygrometer. WIND. The direction and estimated force of the Avind will be registered together. The direction Avill be expressed, as is customary, by the letters which denote the points of the compasss, as W., S., W., &c. The force of the Avind 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 breez" ; 5 will signify a strong wind ; 6 " " a very strong wind ; 7 " " a storm; 8 <: " a great storm ; 9 '• " a hurricane; 10 " " a violent hurricane. MEDICAL DEPARTMENT. 20 For example :—should the Avind blow a brisk breeze from S. W., the expression in the Register would be, S. W. 4. The whole number of times any point of the compass is recorded during the month gives the "number of obser\"ations," and the aggregate of the numbers denoting 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 Awather will be recorded an fair or cloudy ; and the number of fair and cloudy days during the month Avill be ascer- tained by dividing the sum total of each record by 3. The number of days on which it rains or siioavs will be noted separately. RAIN. The instrument used to measure the quantity of rain Avhich falls, is the conical rain gauge. It Avill be kept remote from all elevated structures, at a distance at least equal to their height, and still farther off, where it can be con- veniently done. It is to be suspended in a circular opening made in a board, Avhich 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 doAvnwards, to prevent evaporation. The measurement is made by putting down perpendicularly to the bottom of the gauge, the measuring stick, and 30 METEOROLOGICAL OBSERVATIONS. applying it from its point, to the Avater mark, on the scale, which will express the quantity in inches or their decimils. 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 doAvn in decimals. If a rain continue 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 snoAv, rain or sleet, that may then fall. This vessel must have its opening exactly equal to that of the rain gauge, and widen doAvmvards to a sufficient depth Avith a considerable slope. It should be placed Avhere nothing can obstruct the descending snow from entering, and where no drift snoAv can be bloAvn into it. During a continued snow storm, the snoAv may be occasionally pressed doAvn. 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, Avhich must then be entered on the Register. REMARKS. Under this head may be noted all remarkable phenomena, especially sudden and simultaneous0 change of wind and temperature ; their effect on the barometer; the moment of greatest depression of the * All atmospheric vicissitudes which seem to affeet invalid- unfavorably or other- wise, and the supposed agency of climate in the causation an I cure of disease, wil be noticed in the Quarterly Report of Sick, (Form 15.) MEDICAL DEPARTMENT. 31 barometer in the passage of storms; currents of clouds moA'ing 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, Avith its direction and eleva- tion above the horizon ; falls of hail, snoAv, and sleet ; fogs ; Avhite or hoar frost, &c. Always examine the heavens at the latest observation, Avhether there be any Aurora or shooting stars; and especially about the 10th of August, and 12th and 13th of November, see Avhether 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 Aveather, with a high dew point, observe Avhether clouds form over the fire, and describe the phenomena. Connected Avith meteorology are many interesting subjects of in- quiry, Avhich can only be elucidated by Avidc-spread, simultaneous observations. 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 their observations, (quoted as they Avill be both at home and abroad,) it is hardly neces- sary to say, the reputation of the Department is pledged. Form 1. ANNUAL REQUISITION FOR MEDICINES, INSTRUMENTS, H03PITAL STORES, FURNITURE, &c. Articles, and characters or quantities. B o '5 er V _■ « c SI _3 S O B O '3 -_2 _ B _ > o - 2 o J_ _ 1 •a _ •a B Cm X W •6 _ 3 __ 3 0 s c ■a" s. o _> . O •4 2 o B c. J_ B 0 ■a '3 er Remarks. .. _0 Form 2. SPECIAL KEQUISITION FOR SUPPLIES OF MEDICINES, &c. Requisition for Medicines, (hospital stores, Sec.,) required at —---, for --- Acet: plumbi, lb. i. Pulv: cinchona3, lbs. x. &c &c. &c. &c. I certify that the medicines above required are necessary for the _ick at------, in consequence of [here state whether from loss, damage, &c., &c ] and that the requisition is agreeable to the supply table. -------------, Surgeon. Approved: -------------, Commanding Officer. Received------, 18—, of------, the articles above enumerated. -------------, Surgeon. Form 3. ACCOUNT FOR MEDICINES, kc, PURCHASED BY A SURGEON OR AN OFFICER OF THE QUARTERMASTER'S DEPARTMENT. The United States, To A B, Dr. s Acet: plumb; lb: i, at 50 cts.....................-............................... $ 50 2 Pulv: cmhon; lbs: x, at $2..................................................... 20 00 £ &.C., &c, &c, & w __ ----------------------------------------.----------------_. £ H I certify that the articles above charged, for the use of the eick at-------, are agreeable to the foregoing g requisition, and that the charges are reasonable and just. _4 ■ -----, Surgeon. H Received,-----, 18—, of-----,-----dollars and-----cents, in full of the above account. A B. Note.—The above certificate may be signed by the Surgeon making the requisition, or by any Surgeon, or Assitant Surgeon, w longing to the army. <_n a > On hand at last return. Received since last return. Total. Expended with the eick. Issued. Lost or destroyed by unavoid- able accident. Worn out, or unfit for use. Total expended, &c. On hand. 'STCHOil 98 Form 5. ACCOUNT OF HOSPITAL STORES, FURNITURE, &c, ISSUED. Date. 6 5 _. c. be 3 c_ IS V H >> a et n 5 o _., - Remarks. Lbs. Lbs. Oz. Qts. Qts. Lbs. &.C &c. &c. / Form 6. ACCOUNT OF CLOTHING, ARMS, EQUIPMENTS, &c, OF PATIENTS IN HOSPITAL. 00 Date. Names. Rank. Regiment or corps. >> B a a. S o O 0 3 _ - _ > 0 1 3 -__; 1 1 _ _ _4 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 w ere given. Form 7. ACCOUNT OF FURNITURE, COOKING UTENSILS, BEDDING, &c , IN USE. ___! ' & § I | 5 __ — — — — — — — 0 h_ 3 O B 5 . ■a o s. _3 _ >> O Q Remarks. The remarks will state how articles have been lost.and by whom destroy- ed, or the persons suspected, &c. Names. Rank. Regiment or corps. i Company. 1 Complaint. Admitted. Returned to duty. Deserted. Discharged from service. Sent to general hospital. On furlough. Died. •SKHOJ 0^ Form 9. PRESCRIPTION BOOK, DIET BOOK, AND DIET TABLE. Names. 35 Sunday. Monday. Tuesday. Wednesday. Thursday. Friday. Saturday. | The spaces in the Prescription B:>ok are to be filled up with the prescriptions at length, the times of administering tne medicines and the quantities to he 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. II. and L.; and in order that the steward may have precise instructions for delivering the hospital stores, &c, 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 will soon become familiar to the steward, who has only to refer to the letters in the Diet Book, to ascertain the whole quantity of any article to be delivered for the day, as well as the quantity for each ward. When any liquor is directed, or any other article not contained in these general instruc- tions of the surgeon, the precise quantity directed for each patient will be noted in the Diet Book. The Diet Tables are to be filled up daily from the Diet Book, and hung up in each ward of a general ho-pital. 42 FORM!*. Station Lat Form METEOROLOGICAL ____• Long._______, Therm, att'd. 2 ; 9 P.M. P.M. Thermometer. Hygrometer. H 7 | 2 A.M. P.M. 9 P.M. Duly 7 2 9 Daily mean. a.m. p.m. p.m.: mean. MEDICAL DEPARTMENT. lo No. 10 REGISTER. Alt. of Bar. abocc feet. Winds. 7 a. m. ; 2 p. m. | 9 p. M. I). F. I D. I F. ! D. : F. 7 | o I g | I Quan- j! _.Mlp.M.,..M.1BeSa"iEnde(1! tity. ! 44 FORMS. SUMMARY OF WINDS AND WEATHER. Form 10— NUMBER OF OBSERVATIONS AND SUM OF FORCE. 5 _5 N.E. No. of days FAIR. £ = = 3 o = K C_ 2 No. of days CLOUDY. S. W. 5^ QJ _a = u c 2 _____ No. of days of RAIN. ^ _ _a d CJ 3 2 6_ No. of days of i snow. J MEDICAL DEPARTMENT. Continued. REMARKS. This register is to be transmitted to the Surgeon General monthly. All fractions are to be expressed in decimals carried out two points. The thermometer and hygrometer, if not connected, will be suspended side by side. One-third of the sum of the three daily observations will be registered as the daily mean. The direc- tion (D.) and force (F.) of the winds will be expressed in accordance with existing regulations. The whole number of times any point of the compass is recorded during the month, gives the " number of observations," and the aggregate of the numbers denoting the force, gives the " sum of force," from that point. The results thus ob- tained are to be recorded under " Summary of winds and weather." Observations on the weather will be recorded as fair or cloudy ; and the number of fair and cloudy days during the month will be ascertained by dividing the sum total of each record by 3. The number of days on which it rains or snows will be noted sepa- rately. Sorgeon General's Office, January, 1855. Surgeon U. S. Army. (Endorsement.) Station: METEOROLOGICAL REGISTECt Month of__________________.. 18- Traiumitted by Surgeon U. S. Army. 46 FORMS. Form Muster Roll of Steward, Wardmaster, Cooks, Nurses, and Matrons day of-----, 185—, when last mustered, HOW MUSTERED IN THE ARMY. NAMES. Present and absent. ENLISTED. When. Where. By whom. Period. RECAPITULATION. ( For duty................ Present.......< Sick..................... ( In arrest, or confinement. f On detached service..... ! On furlough.............. Absent........1 Without leave........... Sick..................... [ In arrest, or confinement. Strength—Present and Absent. f f Enlisted in hospital......... Joined . Byre-enlistment............ J0inta......1 By transfer................. [ From desertion............. I Expiration of service........ For disability.............. By sentence of G. C. Martial. By civil authority........... By order.................... Transferred......... . . ( Killed in action............. Died........1 Of wounds.................. ( From disease, &c.... ...... < L Deserted................... a . 3 S H MEDICAL DEPARTMENT. 47 IS'o. 11. attached to the hospital of------, army of the United States, from the to the------day of------, 185—. attached to hospital. LAST PAID. (See notes 4 ami 10 of " Remarks.") How em- By pay. To wh-t ployed. master. time. bounty. (See notes 5 &. 10 of "Remarks."; I certify, on honor, that this Muster Roll is made out in the manner required by the printed notes ; that it exhibits the true state of the Hospital department for the period herein mentioned; that the " Remarks " set opposite each name are accurate and just; and: that the " Recapitulation " exhibits in every particular the true state of the hospital, as required by. the Regulations and the Rules and Articles of War. Station : Ditb : Stugean, in charge of Hospital. I certify, on honor, that I have carefully examined this Muster Roll; that I have nm.tered and minutely inspected the hospital attendants; and that the police and g.neral condition of the Uospita) department is found to be as follows: Inspector and Musterin'r Officer. 48 FORMS. Form 11—Continued. RE VI ARKS. l...The "reasons for and time of absence," (No. and date of order and commence- ment of absence,) " shall be inserted opposite the names of the respective absent sol- diers," (see 13th Art. War,) and the same must be repeated on each subsequent roll during the whole period of the soldier's absence. The date and cause of all transfers to or from the Hospital, (Vo. and date of order to be stated,) discharges, deaths, de- sertions, apprehensions, &c, will be accurately noted ; also, the places of discharge, death, &c. All changes of rank by appointment, promotion, or reduction, as also stoppages, since last payment, must likewise be stated in the column of " Remarks." 2.. .In noting stoppages to be made, whether on account of extra issues of clothing; for loss of, or damage done to, arms and accoutrements, or other public property, &c., the articles will be specified and be inserted at large in the column of " Remarks," opposite to the soldier's name. 3.. .The " three months' extra pay " allowed to re-enlisted soldiers will be paid by the recruiting officer, and will not be placed on the muster roll. 4...Under heading "last paid," the words "certificates of discharge given," will be written opposite the name of any discharged soldier who may have received his pay certificates. 5...The "bounty" allowed by the act of June 17,1850, will be paid in instalments, as follows : one-tenth, one-eighth, one-sixth, one-fouith, at the end of the 1st, 2d, 3d, and 4th years, respectively, and the remainder at the expiration of service.- S-e "General Orders," No. 20, of 1850. 6...The names of all persons who may have been "discharged," or "transferred," from the hospital, or have " died," or " deseaed," will be written at the foot of the alphabetical list, under their respective heads, and in the order here enumerated. Their names will, therefore, be excluded from the alphabetical list, except in the case of re-enlistment, or the return of a deserter to the hospital. 7. ..In all cases of "re-enlistment" prior to the expiration of the term of service, the discharge on the old enlistment will be given at the time the soldier "re enlists "" from and on which day his pay on the new enlistment will commence. 8... Within three days after each regular muster, the mustering officer, or comman- dant of the post, will transmit to the Adjutant General a copy of the muster roll of the Hospital department. Blanks will be supplied from the Adjutant General's office, and will be acknowledged on the first muter roll forwarded after their receipt. 9... If a soldier attached to the hospital be killed or wounded in action, the fact will be noted opposite his name in the column of "Remarks," with the date and place of action. 10...It is particularly enjoined on all commanding officers to see that the muster 101,3 embrace all the data necessary to ensure justice to the soldier and to guide the paymaster in making his payments. Thus, when men are entitled to the benefits of the 2d section of the act of August 4, 1854, the following remarks should be placed opposite their names: '•$_ pr. !110. for former servic_s,"-the expression "former MEDICAL DEPARTMENT. 49 Form 11—Continued. services " being used to designate the whole period of the soldier's service prior to the date of the act. If he be entitled to $1 additional for re-enlisting subsequent to its date, the remark will then be, "$2 pr. mo. for former services, and $1 for re-enlist- ing ;" for a second re-enlistment, " $2 pr. mo. for former services, and .«2 for 2d re- enlistment," &c. For soldiers coming under the provisions of the 3d and 4th sections of the act, note as follows: " $2 pr. mo. for cert, merit;" " $2 pr. mo. for former ser- vices, $2 for cert, merit, and $1 for re-enlisting," &c, according to the facts of the case. The bounty of " three months' extra pay" allowed for re-enli tments under the 29th section of the act of July 5, 1833, is not to be entered on the muster roll, as this bounty is paid by the recruiting officer, and not by the paymaster; but instalments of bounty due for enlistments made under the provisions of the 3d section oftlie act of June 17,1850, will be noted as follows : " -ltf, (or I, £, or \, according to its being the instalment due for the 1st, 2d, 3d, or 4th year's service,) Ret'd bounty ($----) due—" the regulation amount of the bounty to be specified. The instalment for the fifth year's service will be thus noted : " ,$----Ret'd bounty ($----) due." The pay certificates given to soldiers at the time of their discharge must also clearly set forth the extra allowances to which they are entitled. RECORD of events which may be necessary or useful for future reference at the War Department, or for present information. 7 Form 11—Continued. Pay Roll of the Hospital, from the----day of----, 185—, when last paid, to the----day of----, lc Period paid for. Pay per month. Amount of pay. Retained pay. 1 BOUNTY. Paid Due. Total am't due. Am' stoppt of ges. Balai paii Months. Days. Dolls. Dolls.1 Cts Dolls. Cts. ! Dolls ! Dolls. Dolls. Cts Dolls Cts Dolls. i ______'___________ I Received pay- ment o::— Witm N0T_.-Thrce mu_ er and pay rolls are made at each muster, one to be retained with the hospital records, and two for the P,y- mastcr. One muster roll is at the same time forwarded to the Adjutant General. The muster and pay roll blank i- used f,.. this nur pose, the " pay roll " portion being cut off—See <• General Orders," No. 9, of February 12 1851 " Form 12. Roll of Soldiers employed on extra duty as Cooks and Nurses in the Hospital at------------, during the month of------, 185—, by-------------, Surgeon. Rank or designation. 5 c S o c 1 Pi 1 Term of service. Rate of pay or compensation. How employed. No. Names. 1 By whose order employed. Nature of service. g 5 6 o 6 Per diem. Cts. Dolls. Cts. Remarks. 1 I certify that the above Is a correct roll of the enlisted men employed on extra duty, under my direction, during the month of-----, 185—, and that the remarks opposite their names are accurate and just. Examined: i _———, Commanding. -----, Surgeon. 52 FORMS, Form 13. Army of the United States. (Coat of Arms.) Certificate of Disability far Discharge. A B, of Captain ----—-'s company, (—,) of the ---- regiment of United States------, was enlisted by-------—, of the----regiment of ----, at----, on the----day of ------, to serve —— years; he was born in------, in the State of------, is----years of age,---- feet ■---— inches high, ---- complexion, -=—— eyes,----hair, and by occupation when enlisted -------. During the last two months &aid soldier has been unfit fof duty---- days. (The company commander will here add a statement of all the facts known to him concerning the disease or wound, or cause of disability of tho soldier ; the time, place, manner, and all the circumstances under which the injury occurred, or disease originated or appeared ; the duty or service or situation of the soldier at the time the injury was received or disease contracted, or supposed to be contracted ; and whatever facts may aid a judgment as to the cause, immediate or remote, of the disability, and the circumstances attending it.) C D, Commanding Company. When the facts are not known to the company commander, the certificate of any officer, or affidavit of other person having such knowledge, will be appended. I certify, that I have carefully examined the said----of Captain •——— 's company, and find him incapable of performing the duties of a soldier because of, (here describe particularly the disability, wound, or disease ; the extent to which it deprives him of the use of any limb or" faculty, or affects his health, strength, activity, constitu- tion, or capacity to labor or earn his subsistence.) The surgeon will add, from his knowledge of the facts and circumstances, and from the evidence in the case, his professional opinion of the cause or origin of the disability. E F, Surgeon. (Duplicates.) Form 14. RECORD OF RECRUITS EXAMINED BY -, AT Remarks. The remarks will state Ihe cause of rejecting any who are exainined, &.C., &c. -, Surgeon. Cl to Form 15. REPORT OF THE SICK AND WOUNDED AT ----, FOR THE QUARTER ENDING -, 185- TAKEN SICK OR RECEIVED INTO HOSPITAL DURING THE QUARTER. CLASSES OF First. Second. Third. Total by each disease. Total by each DISEASES. class. Specific diseases. <_ 3 _■ a o S O Cases. <_ Q Cases. 3 a Cases. 3 _ Q ( 1 Febris Intermittens Quotidiana . Febris Intermittens Tertiana.... Febris Intermittens Quartana... i r J Eruptive fevers. \ 1 { f 1 1 ; i Diseases of the organs con- nected with"1 ihe digestive sjstein. Diseases of the respiratory sys- \ Diseases of the I circulatory sys- •{ tern. Diarrhcca Acuta.......... Diarrhn... Chronica....... I lysenteria Acuta......... Dysenteria Chronica....., Dyspepsia................ Enteritis................. Gastritis................. Hii'inatemesis............ Hepatitis Acuta.......... Hepatitis Chronica....... Icterus.......... ........ Parotitis.................. Peritonitis........,....... Splenitis.................. Tonsilitis................. Asthma................. Bronchitis Acuta......... Bronchitis Chronica..... Catarrhiis Epidemicus.... Catarrhus............... Hicmoptysis............. Laryngitis.............. Phthisis Pulmonalis...... Pleuritis................. Pneumonia............. Amrmia................. Aneurism a.............. Angina Pectoris......... Carditis................. Endocarditis............. Pericarditis............. Phlebitis ............... Varicocele.............. Varix.................... Carry forward Form 15—Continued. CLASSES OF DISEASES. Diseases of tJie brain and nur- -{ vous system Diseases of the urinary and genital organs. TAKEN SICK OR RECEIVED INTO HOSPITAL DURING THE QUARTEPv. Month. Specific diseases. Brought forward. Apoplexia.................. Cephalalgia................ Cerehntis.................. Chorea.................... Deliriuni Tremens.......... Epilepsia.................. Ictus Solis................. Irritatio Spinalis............ ■Mania..................... Melancholia................ Meningitis.................. Neura'gi _.................. Paralysis.................... Tetanus.................... f Bubo Syphiliticum.. Calculus........... Cystitis............. Diabetes........... Enuresis.......... Gonorrhoea........ Ischuria et Dysuria. Nephritis.......... Third. Total by each disease. Total by each class. - J= o a and venereal affections. CO Diseascs of the serous exha- lent vessels. Diseases of the fibrous and muscular struc- tures. Abscesses and^ ulcers. Wounds and in- • juries. Orchitis....................... Sarcocele..................... Strictura Urethra'............. Syphilis Primitiva............. Syphilis Consccntiva ......... Ulcus Penis Non Syphiliticum Anasarca Ascites..... Hydrarthrus. Hydrocele... Hydrothorax Lumbago................ Podagra.................. Rheumatisnius Acutus.... Rheumatism us Clironicus. Absressus .. Anthrax ... Fistula..... Paronychia Phlegmon .. Ulcus...... Ambustio.......... Concussio Cerebri .. Compressio Cerebri. Contusio......... Fractura .......... Hernia............. Luxatio............ Morsus Serpentis... Punitio............ Carry forward. CLASSES OF CASES. Wounds and in- juries. Diseases of the) eye. ) Diseases of the \ ear. ] Form 15—Continued. TAKEN SICK OR RECEIVED INTO HOSPITAL DURING THE QUARTER. Month. Specific diseases. Brought forward.. !_ ub-luxatio................. Vulnus Incisum................ Vulnus Contusum vel Laceratum Vulnus Punctum............ Vulnus Sclopeticum......... Amaurosis .., Cataraeta Hemeralopia , Iritis......... Nyctalopia .. Opthalmia ... Retinitis..... Otalgia ... Otitis .... Otorrhcea Surditas.. Anchylosis... Atrophia..... Bubo simplex. First. Second. Third. Total by each disease. Total by each class. en oc All other dis- eases. Cachexia......... Debilitas......... Ebrietas........., Epistaxis........ Exostosis........ Hxmorrhois...... Hematocele...... Morbi Cutis..... Necrosis........ Nostalgia........ Odontalgia...... Prolapsus Am ... Scirrhus........ Scorbutus ....... Scrofula......... Suicidium. ..... Toxicum........ Tumores........ Vermes.......... Morhi Varii..... Total 5© Form 15—Continued. GENERAL SUMMARY © Ei i < Remaining. Mean strength. Number treated. Deaths. Ratio per 1,000 of mean strength. Months. Officers Enlisted men. Total. Cases. Deaths, , <_ _■ _£ > s o O o ---- ---- ---- ---- --,-- o Ratio per qr.. DIRECTIONS. Reno.tT? " 'If ReP° ?* ^ Utm°St Punctuality and exac,ness will be required. It will he accompanied with a General Sanitary fn fourVn.,!. MH • °\H"kT P3geS °f f°°1SCaP PUPer' Wlth 3 margi" °f °ne inch °" the '<* side «f each page, an. to be fc 2 hes^ess n^ m_.tat;Cof,.l,emteo ' ^ wi» ^'"1 inf0"nati°n r6SpeCting a" th»° ag«-ies which^; havetdu^c _ ne sickness and mortality of the troops-such as the medical topography of the station; the climate; prevalent diseases in the and _ ui* Varf anfd,rPl°yment °f U,e U°0r,S ; the "atUre °f «*" ba»ack a"" "o^P'ta- ^m-J^J^^^^n and general habrts of the men as to cleanliness, temperance, fcc. Cases of unusual interest will be reported in detail Disea-s of n omen and children, if g.ven, must be reported separately. No duplicate of this report is required. Diseases of MEDICAL DEPARTMENT. 61 Form 15—Continued. DISCHARGES ON SURGEON'S CERTIFICATE AND DEATHS. REMARKS. Note.—Discharges on Surgeon's certificate, and deaths occarring among those of the command not on sick report, will be also reported, but separated from the others by a double line drawn across the page. The remarks will in each case specify the manner in which the disease originated, when it is known. 62 FORMS. Form 15—Continued. {Endorsement.) REPORT OF SICK AND WOUNDED FOR THE Quarter ending Station: , 185 Surgeon U. S. Army. COMMAND. Regiment.. Companies. In hospital. In quarters. Taken sick. In hospital. In quarters. Returned to duty. Discharged. Sent to general hospital. In hospital. In quarters. 89 ■iN-U-X-iVd-ia ivoici-iw Form 17. a Return of the Medical Officers of the Regular Army, Volunteer Corps, and Militia, including Physicians employed under contract, serving in Department No.----,for the Mouth of------, 1_5—. Post or station. With what troops serving. Remarks. Note.—The names will he arranged in the following order,—1st, Medical Officers of the Regular Army • 2d Those of Volunteer Corps and Militia: :id, Private Physicians. In the column of "Remarks,-' will be noted all changes in the position of Medical Officers and Private Physicians, whether on duly, or on leave of absence; giving Hie number, date, and .ource of the order directin« or authorizing such change, the time of the departure oftlie officers from their posts, and the date of their return to duty If to a new post, its position must be indicated by reference to some known point,—as ---miles north from----- river, town or pn I lie contract, the date thereof, the monthly compensation, and the dale of their discharge from service. ° The Medical Directors will require from the Medical Officers and Private Physicians in their respective Department" monthly reports to enable them to make out and transmit this Return to the Surgeon General. • • -> '. MEDICAL DEPARTMENT. 65 Form 18. CONTRACT WITH A PRIVATE PHYSICIAN. This contract, entered into this---- day of------, 18—, at------, State of------, between-------------, of the United States Army, and Dr.____________-, of------, in the State of------, witnesseth, that for the consideration hereafter mentioned, the said Dr. ._____________, promises and agrees to perform the duties of a medical officer, agreeably to the Army Regulations, at ------, {and to furnish the necessary medicines.) And the said------■ promises and agrees, on behalf of the United States, to pay, or cause to be paid, to the said Dr. ------the sum of ----dollars for each and every month he shall continue to perform the services above stated, which shall be his full compensation, and in lieu of all allowances and emoluments whatsoever, (ezcept that for medicines furnished, which shall be at the rate of—per cent, on his monthly pay, to be determined by thi Surgeon General.) This contract to continue till determined by the said doctor, or the commanding officer for the time being, or the Surgeon General. [Seal.] Signed, sealed, and delivered ) in presence of j [Seal.] I certify that the number of persons entitled to medical attendance, agreeably to regulations, at ------ is ----, and that no competent Dhvsician can be obtained at a lower rate. r ' .____________ Commanding Officer. 9 66 FORMS. Form 1». Extract from Form No. 3, Regulations for the Subsistence Department. A MONTHLY STATEMENT OF THE HOSPITAL FUND. Dr. To balance due hospital last month---........---- 1,532 rations, being whole amount due this month, at 91 cents per ration.-...............------ Cit. By the following provisions, at contract pTices : 283i lbs. of pork, at 6 cents per pound--- 690* lbs. of fresh beef, at 4 cents per pound- 1,612^ lbs. of flour, at 2 cents per pound. 10 lbs. of hard bread, at 3£ cents per lb._ 70 lbs. of rice, at 6 cents per pound---- 56 lbs. of coffee, at 9 cents per pound.--. 193f£ lbs. of sugar, at 8 cents per pound-. - 1"| quarts of vinegar, at 5 cents per quart. 15,\ lbs. of candles, at 12 cents per pound.- G1J lbs. of soap, at 6 cents per pound..... 16| quarts of salt, at 3 cents per quart--- 12 galls, of molasses, at 28 cents per gall.. PURCHASED. 2 pairs of chickens, at 87-J c. per pr. j$l 4 qrts. of milk, at 7 c. per quart.... 3 doz. oranges, at 25 c. per dozen.L. Total expended—........ Balance due this month S17 27 32 4 5 15 1 3 112 01 liO 24_ 35 20 04 51 85 & 83| «7$ 50| 36 181 MEDICAL DEPARTMENT. 67 Form 20. FORM OF A MEDICAL CERTIFICATE. ---------of the---------regiment of----, having applied for a certificate on which to ground an application for leave of absence, I do hereby certify, that I have carefully examined this officer, and find that--------. [Here the nature of the disease, wound, or dis" ability, is to be fully stated, and the period during which the officer has suffered under its effects.] And that, in consequence thereof, he is, in my opinion, unfit for duty. I further declare my belief, that he will not be able to resume his duties in a less period than------. [Here state candidly and explicitly the opinion as to the period which will probably elapse before the officer will be able to resume his duties. When there is no reason to expect a recovery, or when the prospect of recovery is distant and uncertain, it must be so stated.] Dated at--------, this----day of------. Signature of the } ______ _____ Medical Officer, j '4