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REPLIES TO QUERIES ON THE TREATMENT OF EPIDEMIC CHOLERA. [ Appendix
Query No. 11,—continued.
Murphy, M. W., Deputy Inspector General, Bom. B—Sulphuric acid and opium I have
found most useful in checking the diarrhœa in cholera epidemics. I prefer it to any other
form of medicine at that period.
Russell, C. M., Civil Surgeon, Ben. I.—Sulphuric acid mixture, cold water at short
intervals, frictions with warm flannel, ice internally, mustard plaster to epigastrium.
Stewart, L. W., Surgeon Major, Mad. I.—Sulphuric acid does in some cases act very
beneficially, both in this stage and collapse. I give it in large doses after the emetic has acted,
Turton, F. A., Assistant Surgeon, Bom. B.—Acts beneficially after purging and vomitting,
more especially with quinine dissolved in it.
Query No. 12.—Acetate of lead with, opium checks the looseness and retains ingesta : it does
not restore the action of the liver.
Allen, J. B., Surgeon, Ben. I.—Acetate of lead, 5 grs. ; dilute acetic acid, 5 drops ; tinc-
ture of opium, 20 drops; water, 1½ oz. To be repeated after each motion.
Baillie, H., Surgeon, Ben. I.—Calomel gr. 1, sugar of lead grs. 4, opium gr. 1, after every
second large loose motion. Hot arrowroot, with a little brandy or port wine.
Chalmers, C. B., Deputy Inspector General, Ben. I.—Γ am not sure of this effect of
lead and opium in cholera ; and I have often observed, that where the purging was at first
frequent and copious, recovery was more frequent, and I would not prescribe these remedies
early in the disease.
Chevers, N., Surgeon Major, Ben. I.—Tannic acid grs. 5 to 10 after each stool ; sinap-
isms, or liquor lyttæ to scrobiculus cordis for vomitting; chloric ether m. 20. To be given
from every ½ of an hour to 2 hours, according to pulse and heat of skin. Frictions with
mustard.
Chuckerbutty, S. G. G., Surgeon, Ben. I.—Mustard plaster. Acetate of lead, grains 5 ;
dilute acetic acid, drops 5 ; distilled water, one ounce. Mix. To be taken every hour. Or
chalk mixture, or tannic acid grs. 10 every hour; ice or cold water; arrowroot or sago.
Guise, J. A., Deputy Inspector General, Ben. I.—I have often seen these medicines given
in combination, but have never seen any decided benefit result from their use. The real pro-
gress of the disease is unchecked by the sugar of lead and opium.
Martin, W. T., Assistant Surgeon, Bom. B.—Much used by me both by mouth und
rectum. The most successful means of checking obstinate diarrhœa.
Query No. 13.—Sinapisms to the epigastrium are valuable, especially when vomitting appears.
Playfair, G. R., Surgeon Major, Ben. I.—I may here add, that amongst large bodies of
men, when the patients are numerous, instead of mustard and red pepper, I use, first, equal
parts of atta and red pepper, a mixture much more economical and equally efficacious ; and
second, a stimulant with opium and red pepper in a tumblerful (10 or 12 ok) of as hot water
as the patient can swallow.
Query No. 14.—Enemata, hot saline, are sometimes most beneficial, but occasionally
powerless.
Banister, G., Surgeon Major, Ben. I.—My opinion regarding hot saline enemata is,
that their beneficial effect is wholly dependent on the amount of warmth they impart.
Miles, N. L,, Surgeon, Bom. B.—Occasionally powerless, but always worthy of pro-
longed trial.
O'Kearny F. R., Assistant Surgeon, Bom. I.—In the algide stages, I have found it
beneficial, but the enemata are not readily retained.
Orr, J. H., Deputy Inspector General, Mad. I.—I have tried the remedy but have
always found that the re-action established, when any re-action did occur, was only temporary.
Simpson, D., Assistant Surgeon, Bom. I.—The use of hot saline enemata has not been
attended with great success. Saline injections into the veins should accomplish the same
object more expeditiously and more certainly.
Sinclair, E. M., Surgeon Mad. B. —Very useful during cholera. Here (Kamptee), in
this year, enemata of salt and water have been very successful.
Stewart, L. C., Deputy Inspector General, Bom. B.—Most true, as may be said of all
remedial measures. I have used the saline enemata frequently, but without decided results.