No. II.]
V.—SECOND STAGE, DIARRHŒA—CHOLERAIC DIARRHŒA.
61
Query No. 3,—continued.
verging on collapse and of premonitory diarrhoea so treated, were so quickly controlled that
all anxiety for the result quickly disappeared.
Formula.
Chloric ether, minims twenty to thirty.
Aromatic spirit of ammonia, minims twenty to sixty.
Dilute hydrocyanic acid, minims two.
The usual vehicle for this dose was a little of the ordinary chalk mixture, which relieved the
acidity and burning. If excessive looseness went on, a few doses of the solution of the
muriate of morphia were added (minims 7 to 10 in each dose), and also tincture of catechu.
These latter were added only to control and not to stop the purging. See Edinburgh
Medical Journal for December 1868, or my pamphlet reprinted from this paper.
Elliot, J., Surgeon, Ben. I.—Chlorodyne, or an astringent with laudanum ; mustard to
the abdomen ; diluted sulphuric acid with laudanum or morphia ; soda and ginger.
Finnemore, J. H., Surgeon, Mad. B.—A very much over-praised drug. It sfupifies
the patient, deranges the stomach, and masks the symptoms.
Lowe, T., Surgeon, Mad. I.—I have had much experience of the action of chlorodyne,
and I believe it to be a very valuable remedy. It stimulates the gauglionic system, and
the glands under its influence begin to act in a normal manner. The secondary effect of
chlorodyne is to act as an anodyne on the spinal system.
Moore, W. J., Surgeon, Bom. I.—In the earlier stages, chlorodyne is, I think, invalua-
ble. Chloroform administered as a vapour is, I think, deleterious, because its effect must
be to produce cranial congestion. By the mouth it is beneficial, and I have frequently used
it with marked success. I believe that chloroform acts as a general stimulant, and more-
over exerts a local sedative action on the stomach and bowels. When cramps or griping are
severe the external application of lint wetted with chloroform has appeared to afford
relief.
Price, A. G., Apothecary, Ben. I.—As cholera is in most cases preceded by an attack of
diarrhœa, the treatment usually adopted is to check this symptom, and for this purpose a
dose of chlorodyne often acts magically.
Stewart, L. C., Deputy Inspector General, Bom. B.—I think chlorodyne most valuable,
and would strongly advice its adoption in the British Pharmacopœia, and that it should be
supplied to all European Hospitals.
Webber, Mr., Civil Surgeon, Dinagepore, Ben. I.—Grive a mixture as follows, in weak
brandy and water, every quarter of an hour till purging is arrested; then lengthen the inter-
vals : Tinct. cantharidis, 1 oz. ; ol. terebinth., liquor. ammon. ā. ā. ½ oz. ; spt. ammon.
aromatic., drs. 2 ; chloroform., spirit. æther, nitr. ā. ā. drs. 3 ; spt. æther. sulph., ol. cajuput.,
ol. juniper., ā. ā. drs. 3 ; ol. anisi, dr. 1 ; brandy, oz. 8. One dose 30 minims.
White, J., Surgeon Major, Ben. I.—Check the diarrhoea by opium or chlorodyne, and
give good strong beef-tea. Keep up the spirits of the patient.
Wright, T. P., Surgeon, Ben. I.—Chlorodyne for Europeans. For Natives calomel and
opium ; or, cholera pill of camphor, opium, assafœtida, and long pepper.
Query No. 6. Astringents cheek the looseness, but retain the cause of the irritation, and do
not restore the secretions.
Cameron, J. M., Assistant Surgeon, Ben. I.—Astringents, such as acetate of lead, chalk,
catechu, and opium.
DeRenzy, A. C. C., Surgeon, Ben. I.—In my opinion, the hypodermic method of ad-
ministering drugs offers the only hope of success ; and I am disposed to think that a solu-
tion of quinine In. tartaric acid, administered in this way, will be found useful.
French, J. G., Assistant Surgeon, Ben. L—Astringents, opium, gr. 1 ; acet. plumb.,
grs. 2 ; sulph. zinc., grs. 2 ; camphor., grs. 2. Mix. To be taken every second hour.
Gayer, E. J., Surgeon, Ben. I.—Zinc. sulph., grs. 15, in water; 1 oz. champagne;
sinapisms ; stimulants in small quantities.
Hendley, J., Surgeon, Ben. B.—True, but I think the looseness should be stopped if
possible for some hours, and the cause of irritation afterwards removed by gentle enemata.
Illingworth, J. A., Assistant Surgeon, Ben. B.—When persisted in after the charac-
teristic stools and vomitting have been established, I have found them hurtful ; and patients
treated with them were greatly distressed by jactitation, cramps, lasting collapse, and tedi-
ous convalescence.