ItwaspracticedbytheBakwainsatatimewhentheyhadnointercourse,directorindirect,withthesouthernmissionariesTheyalladoptreadilytheuseofvaccineviruswhenitisbroughtwithintheirreach。
Acertainloathsomedisease,whichdecimatestheNorthAmericanIndians,andthreatensextirpationtotheSouthSeaIslanders,diesoutintheinteriorofAfricawithouttheaidofmedicine;
andtheBangwaketse,whobroughtitfromthewestcoast,lostitwhentheycameintotheirownlandsouthwestofKolobeng。
ItseemsincapableofpermanenceinanyforminpersonsofpureAfricanbloodanywhereinthecentreofthecountryInpersonsofmixedblooditisotherwise;andthevirulenceofthesecondarysymptomsseemedtobe,inallthecasesthatcameundermycare,inexactproportiontothegreaterorlessamountofEuropeanbloodinthepatient。
AmongtheCorannasandGriquasofmixedbreeditproducesthesameravagesasinEurope;amonghalf-bloodPortugueseitisequallyfrightfulinitsinroadsonthesystem;butinthepureNegroofthecentralpartsitisquiteincapableofpermanenceAmongtheBarotseIfoundadiseasecalledmanassah,whichcloselyresemblesthatofthe`foedamulier’ofhistory。
EquallyunknownisstoneinthebladderandgravelInevermetwithacase,thoughthewatersareoftensostronglyimpregnatedwithsulphateoflimethatkettlesquicklybecomeincrustedinternallywiththesalt;
andsomeofmypatients,whoweretroubledwithindigestion,believedthattheirstomachshadgotintothesameconditionThisfreedomfromcalculiwouldappeartoberemarkableinthenegrorace,evenintheUnitedStates;
forseldomindeedhavethemostfamedlithotomiststhereeveroperatedonanegro。
Thediseasesmostprevalentarethefollowing:pneumonia,producedbysuddenchangesoftemperature,andotherinflammations,asofthebowels,stomach,andpleura;rheumatism;diseaseoftheheart
butthesebecomerareasthepeopleadopttheEuropeandress
variousformsofindigestionandophthalmia;hooping-coughcomesfrequently;
andeveryyeartheperiodprecedingtherainsismarkedbysomesortofepidemicSometimesitisgeneralophthalmia,resemblingcloselytheEgyptianInanotheryearitisakindofdiarrhoea,whichnothingwillcureuntilthereisafallofrain,andanythingactsasacharmafterthatOneyeartheepidemicperiodwasmarkedbyadiseasewhichlookedlikepneumonia,buthadthepeculiarsymptomstronglydevelopedofgreatpainintheseventhcervicalprocess。
Manypersonsdiedofit,afterbeinginacomatosestateformanyhoursordaysbeforetheirdeceaseNoinspectionofthebodybeingeverallowedbythesepeople,andtheplaceofsepulturebeingcarefullyconcealed,Ihadtorestsatisfiedwithconjecture。
FrequentlytheBakwainsburiedtheirdeadinthehutswheretheydied,forfearlestthewitchesBaloishoulddisintertheirfriends,andusesomepartofthebodyintheirfiendisharts。
ScarcelyisthebreathoutofthebodywhentheunfortunatepatientishurriedawaytobeburiedAnant-eater’sholeisoftenselected,inordertosavethetroubleofdiggingagraveOntwooccasionswhileIwastherethishastyburialwasfollowedbythereturnhomeofthemen,whohadbeenburiedalive,totheiraffrightedrelatives。
Theyhadrecovered,whileintheirgraves,fromprolongedswoons。
Inophthalmiathedoctorscuponthetemples,andapplytotheeyesthepungentsmokeofcertainroots,thepatient,atthesametime,takingstrongdraughtsofituphisnostrilsWefoundthesolutionofnitrateofsilver,twoorthreegrainstotheounceofrain-water,answerthesameendsomuchmoreeffectually,thateverymorningnumbersofpatientscrowdedroundourhouseforthecollyrium。
Itisagoodpreventiveofanacuteattackwhenpouredintotheeyesassoonasthepainbegins,andmightprovevaluablefortravelers。
Cuppingisperformedwiththehornofagoatorantelope,havingalittleholepiercedinthesmallendInsomecasesasmallpieceofwaxisattached,andatemporaryholemadethroughittothehornWhentheairiswellwithdrawn,andkeptoutbytouchingtheorifice,ateveryinspiration,withthepointofthetongue,thewaxisatlastpressedtogetherwiththeteeth,andthelittleholeinitclosedup,leavingavacuumwithinthehornforthebloodtoflowfromthealreadyscarifiedparts。
Theedgesofthehornappliedtothesurfacearewetted,andcuppingiswellperformed,thoughthedoctoroccasionally,byseparatingthefibrinefromthebloodinabasinofwaterbyhisside,andexhibitingit,pretendsthathehasextractedsomethingmorethanblood。
Hecanthusexplaintherationaleofthecurebyhisownart,andtheoculardemonstrationgiveniswellappreciated。
Thosedoctorswhohaveinheritedtheirprofessionasanheirloomfromtheirfathersandgrandfathersgenerallypossesssomevaluableknowledge,theresultoflongandcloseobservation;butifamancannotsaythatthemedicalartisinhisfamily,hemaybeconsideredaquack。
WiththeregularpractitionersIalwaysremainedonthebestterms,byrefrainingfromappearingtodoubttheirskillinthepresenceoftheirpatientsAnyexplanationinprivatewasthankfullyreceivedbythem,andwrongtreatmentchangedintosomethingmorereasonablewithcordialgood-will,ifnoonebutthedoctorandmyselfwerepresentattheconversationEnglishmedicineswereeagerlyaskedforandacceptedbyall;andwealwaysfoundmedicalknowledgeanimportantaidinconvincingthepeoplethatwewerereallyanxiousfortheirwelfareWecannotaccusethemofingratitude;
infact,weshallrememberthekindnessoftheBakwainstousaslongaswelive。
Thesurgicalknowledgeofthenativedoctorsisratheratalowebb。
Nooneeverattemptedtoremoveatumorexceptbyexternalapplications。
Thosewithwhichthenativesarechieflytroubledarefattyandfibroustumors;andastheyallhavethe`vismedicatrixnaturae’
inremarkableactivity,Isafelyremovedanimmensenumber。
Inillustrationoftheirwantofsurgicalknowledgemaybementionedthecaseofamanwhohadatumoraslargeasachild’shead。
Thiswassituatedonthenapeofhisneck,andpreventedhiswalkingstraight。
Heappliedtohischief,andhegotsomefamousstrangedoctorfromtheEastCoasttocurehimHeandhisassistantsattemptedtodissolveitbykindlingonitalittlefiremadeofafewsmallpiecesofmedicinalrootsIremoveditforhim,andhealwayswalkedwithhisheadmuchmoreerectthanheneededtodoeverafterwardBothmenandwomensubmittoanoperationwithoutwincing,oranyofthatshoutingwhichcausedyoungstudentstofaintintheoperatingtheatrebeforetheintroductionofchloroform。
ThewomenpridethemselvesontheirabilitytobearpainAmotherwilladdressherlittlegirl,fromwhosefootathornistobeextracted,with,“Now,ma,youareawoman;awomandoesnotcry。”Amanscornstoshedtears。
WhenwewerepassingoneofthedeepwellsintheKalahari,aboy,thesonofanagedfather,hadbeendrownedinitwhileplayingonitsbrinkWhenallhopewasgone,thefatherutteredanexceedinglygreatandbittercryItwassorrowwithouthope。
ThiswastheonlyinstanceIevermetwithofamanweepinginthiscountry。
Theirideasonobstetricsareequallyunscientific,andamedicalmangoingnearawomanatherconfinementappearedtothemmoreoutofplacethanafemalemedicalstudentappearstousinadissecting-room。
Acaseoftwins,however,happening,andtheointmentofallthedoctorsofthetownprovingutterlyinsufficienttoeffectthereliefwhichafewsecondsofEnglishartafforded,theprejudicevanishedatonceAsitwouldhavebeenoutofthequestionformetohaveentereduponthisbranchoftheprofessionasindeeditwouldbeinexpedientforanymedicalmantodevotehimselfexclusively,inathinly-peopledcountry,tothepracticeofmedicine
Ithereafterreservedmyselfforthedifficultcasesonly,andhadthesatisfactionofoftenconferringgreatbenefitsonpoorwomenintheirhourofsorrowThepoorcreaturesareoftenplacedinalittlehutbuiltforthepurpose,andareleftwithoutanyassistancewhatever,andthenumbersofumbilicalherniaewhicharemetwithinconsequenceisverygreatThewomensufferlessattheirconfinementthanisthecaseincivilizedcountries;perhapsfromtheirtreatingit,notasadisease,butasanoperationofnature,requiringnochangeofdietexceptafeastofmeatandabundanceoffreshairThehusbandontheseoccasionsisboundtoslaughterforhisladyanox,orgoat,orsheep,accordingtohismeans。
MyknowledgeintheabovelineprocuredformegreatfameinadepartmentinwhichIcouldlaynoclaimtomerit。
Awomancameadistanceofonehundredmilesforreliefinacomplaintwhichseemedtohavebaffledthenativedoctors;acompletecurewastheresultSometwelvemonthsaftershereturnedtoherhusband,sheboreasonHerhusbandhavingpreviouslyreproachedherforbeingbarren,shesentmeahandsomepresent,andproclaimedalloverthecountrythatIpossessedamedicineforthecureofsterility。
Theconsequencewas,thatIwasteasedwithapplicationsfromhusbandsandwivesfromallpartsofthecountry。
Somecameupwardoftwohundredmilestopurchasethegreatboon,anditwasinvainformetoexplainthatIhadonlycuredthediseaseoftheothercaseThemoreIdenied,thehighertheiroffersrose;theywouldgiveanymoneyforthe“childmedicine“;
anditwasreallyheart-rendingtoheartheearnestentreaty,andseethetearfuleye,whichspoketheintensedesireforoffspring:
“Iamgettingold;youseegrayhairshereandthereonmyhead,andIhavenochild;youknowhowBechuanahusbandscasttheiroldwivesaway;
whatcanIdo?IhavenochildtobringwatertomewhenIamsick。”etc。
ThewholeofthecountryadjacenttotheDesert,fromKurumantoKolobeng,orLitubaruba,andbeyonduptothelatitudeofLakeNgami,isremarkableforitsgreatsalubrityofclimateNotonlythenatives,butEuropeanswhoseconstitutionshavebeenimpairedbyanIndianclimate,findthetractofcountryindicatedbothhealthyandrestorative。
Thehealthandlongevityofthemissionarieshavealwaysbeenfair,thoughmission-workisnotveryconducivetoeitherelsewhereCaseshavebeenknowninwhichpatientshavecomefromthecoastwithcomplaintscloselyresembling,iftheywerenotactually,thoseofconsumption;
andtheyhaverecoveredbytheinfluenceoftheclimatealone。
Itmustalwaysbeborneinmindthattheclimatenearthecoast,fromwhichwereceivedsuchveryfavorablereportsofthehealthoftheBritishtroops,isactuallyinferiorforpersonssufferingfrompulmonarycomplaintstothatofanypartnotsubjectedtotheinfluenceofsea-air。
Ihaveneverseenthebeneficialeffectsoftheinlandclimateonpersonsofshatteredconstitutions,norheardtheirhighpraisesofthebenefittheyhavederivedfromtraveling,withoutwishingthatitsbracingeffectsshouldbecomemoreextensivelyknowninEngland。
NoonewhohasvisitedtheregionIhaveabovementionedfailstorememberwithpleasurethewild,healthfulgipsylifeofwagon-traveling。
Aconsiderableproportionofanimaldietseemsrequisitehere。
Independentofthewantofsalt,werequiredmeatinaslargequantitydailyaswedoinEngland,andnobadeffects,inthewayofbiliousness,followedthefreeuseofflesh,asinotherhotclimates。
Avegetabledietcausesacidityandheartburn。
MrOswellthoughtthisclimatemuchsuperiortothatofPeru,asfaraspleasureisconcerned;thewantofinstrumentsunfortunatelypreventedmyobtainingaccuratescientificdataforthemedicalworldonthissubject;andwereitnotforthegreatexpenseofsuchatrip,IshouldhavenohesitationinrecommendingthebordersoftheKalahariDesertasadmirablysuitedforallpatientshavingpulmonarycomplaints。
Itisthecompleteantipodestoourcold,damp,Englishclimate。
Thewinterisperfectlydry;andasnotadropofrainfallsduringthatperiod,namely,fromthebeginningofMaytotheendofAugust,dampandcoldarenevercombinedHoweverhotthedaymayhavebeenatKolobengandthethermometersometimesrose,previoustoafallofrain,upto96DeginthecoolestpartofourhouseyettheatmosphereneverhasthatsteamyfeelingnorthosedebilitatingeffectssowellknowninIndiaandonthecoastofAfricaitselfIntheeveningstheairbecomesdeliciouslycool,andapleasantrefreshingnightfollowsthehottestdayThegreatestheateverfeltisnotsooppressiveasitiswhenthereismuchhumidityintheair;andthegreatevaporationconsequentonafallofrainmakestherainyseasonthemostagreeablefortraveling。
NothingcanexceedthebalmyfeelingoftheeveningsandmorningsduringthewholeyearYouwishforanincreaseneitherofcoldnorheat;
andyoucansitoutofdoorstillmidnightwithouteverthinkingofcoldsorrheumatism;oryoumaysleepoutatnight,lookinguptothemoontillyoufallasleep,withoutathoughtorsignofmoon-blindness。
Indeed,duringmanymonthsthereisscarcelyanydew。