Peter is spot on with the refrigeration answer. The gas was generally ammonia, it would be hard to say what the patent was all about, as the design was common in American "ice houses" with ''Eclipse" and "De La Vergne" being the most common manufacturers in that design. They both made some large machines also with 2 compressor pistons at 180 degrees and one steam cylinder. A safety feature of these was also a "false head" to bypass any liquid coming back through the suction line, as manual valves and operators generally controlled liquid refrigerant flow.