The Arkansas advocate., 1832-10-03

1 do not dIiIer rom the ordinary con. piaints of the season, and require no o,''' cuIiar management. Pe'
 Genuine cholera, for the most ps,. comes on with little or no premontioa f@A' The earliest symptoms are conpla%. ot load, and oppression, and a,,xia, s about the prmeesaia, with an inte,s..s sense of heat, referriblc to the stomo, 4a' or bowels, with greatthirst and d whs. @.a tongue, and at the same time tho ,.'il Ga is confused, the expression of coas, ,,saa nance haegard, accompanied by sIsI. S'H nervous tremors,. muscular weak,ss cool skin, and either quick and so,as what feeble, or a full and strupol;" pulse. Copious eyacuations upws'l S and downwards, of fluid resemhGs dirty or tufbid rice water, with aaee,E mixed in fl, soon occur, followed Sa cramps or spasms of the muscles or ,H extremities and abdomen. I'hesc seldom so violent as has been renresa"s ed, and never extend to the alimenI,rs canal. An aggravation of the pres. ding symptoms rapidly takes place. @ anl in half an hour or more, the tongue k, comes icy cold, the skin more ebilIss and sodden. though feeling lot to tfs patient, covered with dewy yi,ca precipitation, the hands shriyelled @ wilted, asifmacerated, the nails ontS. fingers blue, the pulse scarcely or ro, at all pereeptible, the face sunken. e,. peclaliy the eyes, around which sa dark circle. This color gradually dR fuses itself over the entire surface. par taking of the various shades Of lIyid ness, from a saturnne to blueish CT blackish hue. During this period the thirst is intense, the heat of the sto mach in some instances is increased 10 a burning sensation, the respiratiop 1 greatly embarrassed, the air expired cold, the voice low, or whispering and plaintive, the diaphragm conyulsed,aa there is total suppression of the uIt nary and other secrctions. Dischargs from the alimentary canal, and tM spasms likewise cease or are much dt minished. Death ultimately takesplacs in sort tranquil stupor, or wilhis discribable jactitation and distress, ds latter state being by far the most con
 mon.
 As have briefly described the q. ease, such is the tenor of it's eharue and progress, though oecasiohally d. ] versihedihso some respects. Thus iMe seen is accession as sudden as ihee ehc trick shock, and have met with eases without spascs, CT vomiting Or purgng Many other anomalies might be meDon. ed, could lHiadulge in such details. The disease may be properly divided iama instances, in two.stages-that ofaggre. sion, and collapse.
 Called at the commencement of an attack, unless there is extreme deprs sion, bleed very freely from the am and uniformly cup the epigastrium, and give calomel largely, combined or not with opium, according 10 tie severity of the spasms. The case will almoa invariably yield to these remedies, and we have no further troubIe concerning it. But when the attack is confirmed, or in other words, the stale of collapse exists, the difficulties of management are vastly increased, and the practice is somewhat different. The first step, under such circumstances. is 10 puke actively with tepid salt and water, j tumbler full at time. This usually settles tue stomach, allays thirst, and produces some degree of reaction, q stronger pulse, increased warmth c surface, and resolution of the spasn& Co-operatingin the same design of arou sing the vital forces, and exciting tt' skin particularly, the body and extren' lies may be rubbed with warm flannel' Let q vein be then opened, and fl the blood flows freely, take large quartl' | ty, and especially should the pulsen'e and the blood become forld. but where thereverse happens, or you have slowly to coax out the blood, or tho pulse IS sensibIy weakened by the loss of 1t, stop the operation, and apPF twenty or thirty cups to the abdoaleG,' including the epigastrium, which, though they may not draw much blood, afe e!'- inently seryiceable as reyellents. me cups are 10 be succeeded by a blister to the same parts. Caomel is next to no given in doses of five, ten, or twenty grains, frequently repealed till theas grcgate amounts to drachm, and then worked off with a table spoonful oi cas- tor oil. As the result of these means there arc commonly bilious eyacu@ tions, discharges of urine, and oihsE