第24章
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  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。

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