and livid patches
were frequently associated with swellings in various parts, and
especially in the lower extremities, accompanied with stiffness and
contractions of the knee joints and ankles, and often with a brawny feel
of the parts, as if lymph had been effused between the integuments and
apeneuroses, preventing the motion of the skin over the swollen parts.
Many of the prisoners believed that the scurvy was contagious, and I saw
men guarding their wells and springs, fearing lest some man suffering
with the scurvy might use the water and thus poison them.

I observed also numerous cases of hospital gangrene, and of spreading
scorbutic ulcers, which had supervened upon slight injuries. The
scorbutic ulcers presented a dark, purple fungoid, elevated surface, with
livid swollen edges, and exuded a thin; fetid, sanious fluid, instead of
pus. Many ulcers which originated from the scorbutic condition of the
system appeared to become truly gangrenous, assuming all the
characteristics of hospital gangrene. From the crowded condition, filthy
habits, bad diet, and dejected, depressed condition of the prisoners,
their systems had become so disordered that the smallest abrasion of the
skin, from the rubbing of a shoe, or from the effects of the sun, or from
the prick of a splinter, or from scratching, or a musketo bite, in some
cases, took on rapid and frightful ulceration and gangrene. The long use
of salt meat, ofttimes imperfectly cured, as well as the most total
deprivation of vegetables and fruit, appeared to be the chief causes of
the scurvy. I carefully examined the bakery and the bread furnished the
prisoners, and found that they were supplied almost entirely with
corn-bread from which the husk had not been separated. This husk acted
as an irritant to the alimentary canal, without adding any nutriment to
the bread. As far as my examination extended no fault could be found
with the mode in which the bread was baked; the difficulty lay in the
failure to separate the husk from the corn-meal. I strongly urged the
preparation of large quantities of soup made from the cow and calves'
heads with the brains and tongues, to which a liberal supply of sweet
potatos and vegetables might have been advantageously added. The
material existed in abundance for the preparation of such soup in large
quantities with but little additional expense. Such aliment would have
been not only highly nutritious, but it would also have acte