The Arkansas advocate., 1832-09-26

GU "fsl' a nv eiiei'S, .'ie pupils often dilated, face shrank. cold and I!;;s;;,i particularly the lips-nose cold and md pinched up-tongue cold, moist, and ' l little furred with whitc-air resn;r.a . from the lungs perfectly cold-voisaa. a profoundly altered, nearly extinct or heard only in q feeble vhisper-iina ' : few cases quite extinct-extremitiess cold, shrunz and liyid or marbled-coISs and lividity sometimes invade the trnnl' @ and particularly the sides of the chos. hand shrlyelled and wrinkled ike washer woman 's-no radiel pulsatioss or it is extremely ieeble-tllirst tortur ing, urine, no longer secreted-tcrrihla purging and frequent vomiting.
 Although the intellectual faculo, remain uninjared, in almost all casps the patient lies regardless, except to make frequent demands for drink. and when his cramps extort from him dis dressing cries mostly on his back-bis eyes half closed-his mouth open. Ha vomits watery, inodorous liquid-hs discharges made in bed without paino, even his knowledge, resemble the thin. est corn meal gruel, and have the Hay. or of stale oysters. His cramps, atro. cious and almost incessant, produce m convulsive movement of the limbs-- From vein opened, the blood flows not at all, or with great difficulty is of very dark color, and at the end of some hours resembles dark and leebl, CD. adulated vegetable jelly, and is without scum. The mechanical part of respl. ration pretty well formed, though the function is imperfect. In very few cases, hiekup and delirium superene in the course of the disease. The skin of the hands and face is browHis!l. not blue.
 In tie last or mortal stage, there isa tifeadfuiiow vail of voRe-a cold cian1 my sweat breaks forth on all the SUI. face; the dejections become more fire. quent and severe, and vomiting is some times excessive. In a short lime the patient dies without groan. If he sur wives longer, or rather if he is to lasta little longer, after few hours an in perfect reaction takes piace-he partially warmed, feeble pulsalonl perceived at the wrist, the decompos ion of his features is. less frightiaE- but the eye is injected in pecuEi manner, chiefly that portion of 1t that is exposed to the light; in less degus the part covered by the lower lid and slightly or not al ail the part coveredbl the upper lid; or an echymosis forms in the globe, or finally thin pus is SC. creted. fine patient certainly sinksia 24, 36 or 4S hours from the attack, and without the slightest struggle. Some. times the reaction is more perfect. and he gives the hope of recovery for 2, or 1 days; when he manifests dispOs. tion to sleep, the intellect remaining undistorbed. His face becomes fusl. ed, his eyes injected, and in despite of revulsion or excitants, depletion, local or general, stupor succeeds, and he dies with the usual cerebral symptoms. We now resume the considerations of symptoms, with view 10 ganceat at some too important to be omitted yet not sufficiently constant 10 form part of a general description of this disease
 In many cases there seems to bean indescrlbable momentary sensation of being seized with the cholera, before the appearance of any of the symptoms enumerated. The patient tries to con vey this idea by representing himsefS "struek as with a blow.''
 In very many cases vomiting has pre- ceded alvine discharges. In q laTee proportion of patients there is onlya numbness instead of cramps of the ul per extremities.
 The alvine evacuations are descrIOed from the sensation, by the patient, a' consisting of pure water. In somelfV cases thereis dullyertiginoushead-acne' with or without tinnitus aurium (rlnS ing in the ears. In aboutbaif the eases, pain on pressure ofthe abdomen or ep' gastrium. Under the fingers the abdc' men has a doughy feel. Sometimes, though rarely there are slight chillS al the commencement.. In fine, the COT. stant and characteristic symptoms arc purging, vomiting, cramps, of lower es , tremities, choleric decomposition oi l1s features, profound alteration Of the voice, absence, or extreme feeblenes of the pulse, intense thirst, non-seefe ton of urine, general coldness and llsf dity or marble appearance, and lntegr ty of the intellectual faculties.
 When the disease has passed throus1a lie clirr,ax md c z, n itS perl0Q