Army medical report from 1895 What are these words?

[McGroger]

Could the middle word be some sort of abbreviation or brand name for clindamycin which was often used with quinine?

Peter

[Ruskie]

I thought it should relate to the heading too sami, but still can't work it out.

It could be an abbreviation Peter. It seems to have a c, l, i and m or n in it. 

The tiny word at the end may also be an abbreviation, or some of the ink is missing.

[seemex]

Just a note to say how I'm just sitting back in amazement at how you all work through this stuff and the amount of combined expertise. It's really mind-boggling to watch and I am very appreciative to you all.
I think the guesses are on the right track. I recall someone saying that the patient in question, who was one of my ggrandfathers,died of  a malaria related illness. At the time of this exam he had recently re-enlisting for another 12 years. He had already been in the army for 21 years ( since 13 ) so he was only 34. He had been pronounced "fit" a few months earlier.
A year after his re-enlistment he resigned and he died 5 years later. His wife also died about the same time and it was mentioned that there was an outbreak of Malaria. There was also bubonic plague in Hong Kong in 1894 but that would have killed them quickly. I would think the Malaria may have weakened him to the degree that he had to leave the army, and probably contributed to his early demise.
Thank you so much
Brian

[Wiggy]

Clinda'mycin' on the end suggests antibiotic . . . .  talking through my head here,

but there wouldn't have been antibiotics around in 1895, of that I am sure.

do you think the word at the end of the treatement means rec(recommended)?

[Whipby]

Could that be a dash or hyphen after the word moderate, so the doctor might have been saying that his condition was classed as moderate-severe for example?  I can't decide what the word is, though.  I want it to say critical, but can't get it to!

[spices]

Sorry but would  Clinda'mycin' have been around in 1895

Just a thought

[Wiggy]

Just what I said Spices (#12)       I agree.

- and no it wouldn't.  Antibiotics weren't around until much later -  during or soon after WWII I think.  I know my Aunt was still using Sulphonamides in WWII

[Bookbox]

I believe it reads ...

Moderate - climate - quinine  rec

A moderate attack (of whatever fever), induced by the climate, treated with quinine, and recovered.

[Wiggy]

I am glad you said that because 'climate' was what I was seeing too - but I couldn't see why it would be there. 

Reasonable assumption I think. 

Wiggy