Medicine during the Civil War

"When the war began, the United States Army medical staff consisted of only the surgeon general, thirty surgeons, and eighty-three assistant surgeons. Of these, twenty-four resigned to "go South," and three other assistant surgeons were promptly dropped for "disloyalty." Thus the medical corps began its war service with only eighty seven men. When the war ended in 1865, more than eleven thousand doctors had served or were serving, many of these as acting assistant surgeons, uncommissioned and working under contract, often on a part-time basis. They could wear uniforms if they wished and were usually restricted to general hospitals away from the fighting front.

The Confederate Army began by taking the several state militias into service, each regiment equipped with a surgeon and an assistant surgeon, appointed by the state governors. The Confederate Medical Department started with the appointment on May 4 of Daniel De Leon, one of three resigned United States surgeons, as acting surgeon general. After a few weeks he was replaced by another acting surgeon general, who on July 1,1861, was succeeded by Samuel Preston Moore. He took the rank of colonel and stayed on duty until the collapse of the Confederacy.

Dr. Moore, originally a Charlestonian, had served twenty seven years in the United States Army. He has been described as brusque and autocratic, a martinet. He was also very hard working and determined, and he was progressive in his military-medical thinking. Dissatisfied with the quality of many of the surgeons of the state troops, he insisted that to hold a Confederate commission, every medical officer must pass examinations set by one of his examining boards. He disliked filthy camps and hospitals. He believed in "pavilion" hospitals-long, wooden buildings with ample ventilation and sufficient bed space for eighty to one