Phenix gazette. [volume] (Alexandria [D.C.]) 1825-1833, 1832-06-09
,1ryANDRIA GAZETTE

-, ~ the disease, and the necessary anu priv
,,,u.;on that is to be observed upon the
...,r,pce Of any Of these sympto - We sub
=. ,hs,p without further comment.
j;rerent names have been given to the In
,r.a;5emic. proving the difficulty there is in
Hin - nroper one. NV own experience in
~ e 80 would incline me to name aud describe
w. ,C6olcra Spasmndica,' making general or To-
va va .,,.m il, distinguishing feature. But the
~ 'fa,,.,ded observations OF others conclusive
n',,s.t tina, "Spasms are far from being an IN
80. commandment Of the Indian epidemic.
r. 'a,sms do not characterize IT, neither do CO.
=, excavations from the stomach and in-
- which. according 10 Cullen, are the symp-
.."" e common cholera, caused by an increased
.,.,.,;oo Of bile. and its copious effus'on, &c. -
80. m the Indian epidemic, II constantly
'.".sn. that the functions Of the liver seem ea-
%pE, ,,sosadsd; aud il the quantity OF matter
~" TOD he not sensibly diminished, its charac-
wi,eulirey different. 1t Is not OF Importance
he ureseut inquiry, to ascertain u TINS disease
|, bat an aggravated form OF the cholera when
rey,is in the United States during the summer
Tonb,, nor is il intended TO question the tact OF
\, same causes, VARYING only in iafeas'ty, pro-
dueag different results.
Il |, Of Importance to impress on the public
mind. in the event Of Indian Cholera appearing
America. that those who do not seek relief unit
,,moons Of the common Cholera appear. WI
,mors the number, who are exposing themseiy
N tbe greatest and most unnecessary risk OF dys4
mo under disease, which, when it sRSe takes
h possession OF the system, proves merci'ess.
The following case will clearly illustrate, and
| 6rCbly impress my position.
awhile HlndeO Was bringing IN breakfast,
ii, master was struck with his appearance, and
,Doulred what allied him9 He replied, he had
nothing 10 complain OF hut deafness. which he
srribed to sleeping in the night wind. HIS mas
br alarmed at his looks. sent him to the Hospi
al; where, on examination, the man was found
| have had some suspicious alvine discharges.
Ip'.e had sunk. and his skin cold. he had
| Cholera, became rapidly worse, and although he
Va, put immediately under treatment, and was
uan Of good habits and strong constitution, he
had hard struggle tor his liie
What would have been the fate of this patient
had The treatment been delayed until symptoms
dMdinary Cholera we're manifested!
The appearance of the countenance may be re-
csyed as the most invariable diagnostic OF Indian
Cholera-as well in the more advanced stages OF
tie disease, a. in that to which now REFER
The expression is so peculiar, that friend would
b led to notice il, when the other symptoms do
not attract the patients attention: "the complex
20 is unnaturally earthly, and the eyes seem
sunk in the hcad-in reply TO inquiries, the pa
ten, will perhaps deny that he is unwelI: he
nay say, however, that he is a little deaf, and If
nrctely questioned. admit that he has indie.
Srbable sensations Of being out Of order. and
hat he is unaccountably depressed and listless:
as may have no nausea, but suffer from tOrmina
throughout the allmentary canal, and perhaps an
uncomfortable sensation OF heat at the pit oi the
sOnat."
Here it may be OBSERVED, that when this epi
aenlc does not prevail, the above symptoms are
no Importance, as they frequently attend an
Sdlnary Indigestion, and are readily removed BY
ne simplest means;-but when Indian cholera
%aPPeared in country, and such feelings over
lSe amaa, let him consider that his life may
Ply the forfeit Of his neglect Of them.
Mex to the peculiar eountenance, there IS ano-
oer a&ctOn which commonly precedes an attack
cholera aude to diarrhea, coming OH
ne nlsht, and. in a maj0rity Of cases, tlisre-
sa'eeL This, under ordinary circumstances,
%sa' tend to a restoration OF health, but. during
We Fe'aence Of this epidemic, it is the har5in-
s''' We, and is more dangerous than the symp'
oc .'. '''vady noticed, because simpler and more
.asiJious.
iass eSemphhed in the following fatal case.
sa''n Tell under my own observation, in Rus
"a did not see the man until two hours alter
sePCrted himself as being ill:--his attack was
needed BY diarrhea, which commenced in
* aisa'; but he made no complaint until Sc.
M O'Clock in the morning, when the symptoms
s'sned serious character. Being occupied
~1 O,Ser cases. could not attend him until
:" une O'clock: when FIRST saw the patient,
'" IN condition in which life seemed scarce
sS'a'ned: with the iacies hippocratica, his
vas covered with clammy pcrspiration,
Ia''es IN general state of convusion. and
pSlse soieebie as to be scarcely felt; he seemed
T rS's' 'Osensble to every external, impression.
~, Treatment consisted OF powerful internal and
5, T'uai St'muants, without affordlug auy mate
u. .s ais state he remained until 4 o'clock in
n. Hernoon, when death closed the scene. OF
Va, se Is to be remarked. that had the pa
M, sepor'ed himself in time. when the diarr-
NV came on, the termination of it might
ava. eu inherent; the chances being more in his
~an many who recovered, as his habits