The Sun.
London, England, 1866-08-02 00:00:00

The Treatment of Cholera.

The Lords of her Majesty's Privy Council having
by their medical officer, Mr. Simon, addressed a
letter to the College of Physicians relating to the
expediency of issuing instructions to captains of
merchant vessels " how they should act when proper
medical attendance cannot be procured, so as to
provide for the health of their crews against attacks
of cholera," the following is the substance of the
reply forwarded by the College :

" Their Lordships request to be informed ' whether, in
the opinion of the College, any, and if so, what suggestions
might be issued as representing the present state of medical
knowledge and experience with regard to the drugs which
hould be given, or other treatment which should be
adopted, in attacks of cholera, and especially in the begin-
ning of the disease, when proper medical attendance cannot
be procured.' Their Lordships, at the same time, submit
to the College a copy of the instructions issued on previous
occasions.

" With referenco to that part of the instructions on
which their lordships particularly request the opinion of
the College—viz., that which relates (1) to the necessity of
avoiding purgative medicines during the prevalence of cho-
lera, and (2) the measures to be adopted when cholera ap-
pears on board ship, the Committee think—

"1. That when opening medicine is required the mildest
should be selected, as caster oil or rhubarb. Glauber's salts
and Epsom salts are dangerous. The common belief that
prolonged costiveness should not be interfered with during
the prevalence of cholera is erroneous.
" 2. That the master should ascertain by inquiry, morn-
ing and evening, whether any of the crew are labouring
under diarrhoea, and if so the following recommendations
for his guidance :
" 3. That if a man be attacked with diarrhoea he should
whenever it is possible, be sent to bed and kept warm, and
some aromatic and astringent medicine, containing a small
quantity of opium, should be given to him at once, and
should be repeated every hour or two, according to the
severity of the purging.

"It is suggested that ten grains of the aromatic powder
of chalk and opium (of the "British Pharmacopoeia") should
be so given in half a glass of peppermint water or weak
brandy and water. Should this medicine not be at hand,
five measured drops of laudanum may be substituted for
each dose of the powder.
"Large doses of opium or of ardent spirits should be
avoided.

" If the diarrhoea should result from bad or obviously in-
digestible food, or if the discharges are unnaturally offen-
sive and attended with griping pain, it would be desirable
to give a dose of either of the gentle laxatives above named
before administering the opiates.

" The diet should consist mainly of beef-tea or broth,
glue], or lice.

" If the discharges become colourless or watery (the
purging being of the kind commonly called rice-water
purging') and bo accompanied with vomiting and coldness,
the opiates should no longer be persisted in, and spirituous
liquors should be avoided. The patient should be strictly
kept in the recumbent position, he should bo allowed to
drink water freely, and should be abundantlysupplied with
fresh air. Warm applications should be uLed to the feet and
legs, and mustard poultices should be applied to the pit of
the stomach. Cramps may
be treated by rubbing the parts
affected with the warm hands.
" In all cases medical advice, when obtainable, should be
obtained as soon as possible."

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