Metemma, from May to November, is very unhealthy. The principal diseases are continued, remittent, and intermittent fevers, diarrhoea, and dysentery. The Takruries are a tough race, and resist well the noxious influences of the climate; but not so the Abyssinian, or the white man: the first is almost certain to die should he attempt to spend the dreaded months in the malarious low country, the second most probably will suffer much in health, but resist for a season or two. During our stay, I had many demands for medicine. Large, cake-like spleens were greatly reduced by local applications of tincture of iodine, and the internal administration of small doses of quinine and iodine of potassium. Chronic diarrhoea yielded readily to a few doses of castor oil, followed by opium and tannic acid. Acute and chronic dysentery was treated by ipecacuanha, followed by astringents. One of my patients was the son and heir of the Sheik. He had been suffering for the last two years from chronic dysentery; and although under my care he entirely recovered, his ungrateful father never even thanked me for all my trouble. Simple ophthalmia, skin diseases, and glandular swellings were also common.
The Takruries have no knowledge whatever of medicine: charms are here, as throughout the Soudan, the great remedy. They are also used as preventatives to keep off the evil eye, bad spirits, and genii of different sorts; for these reasons almost every individual-- nay, cattle, mules, and horses, are covered with amulets of all shapes and sizes.

The day after our arrival at Metemma we despatched two messengers with a letter to the Emperor Theodore, to inform him that we had reached Metemma, the place he had himself fixed upon, and were only waiting for his permission to proceed to his presence. We feared that the fickle despot might change his mind, and leave us for an unlimited period in the unhealthy Galabat. More than a month had elapsed, and we were giving way to despair, when, to our great joy, on the 25th of December (1865), the messengers we had despatched on our arrival, also those sent from Massowah at the time of our departure, returned, bringing for us civil and courteous answers from his Majesty. Sheik Jumma was also ordered by his Abyssinian master to treat us well, and to provide us with camels up to Wochnee. At that village, Theodore informed us, we should be met by an escort and by some of his officers, by whom arrangements would be made to convey our luggage to the imperial camp.






