Vandalia Whig and Illinois intelligencer. [volume] (Vandalia, Ill.) 1832-183?, 1832-07-25

of these symptoms which indicate the disease
When the diarrhoea affords time for distine
treatment, it ought to be arrested at once by tn
most prompt and efficient measures; by opium
in moderate doses; astringents; local bleeding b
leeches, if the subject be plethoric; by cordial'
sulphate of quinine, if theirabe cold sweats; b
combining the patient strictly to bed, and KEEP
ing up heat; by diet; by emetics.
Should spasms be the first and leading symE
tom, subnitrate of bsmuth, cupping along tn
course of the spine, cordial and anti-spasmodi
medicines, opium, friction and dry warmth ar
indicated. But when the patient is suddenl,
seized with vertigo, nausea, GOODNESS, loss O
pulse, blueness of skin, shrinking of the feature
and extremities, with more or less watery dschar
ges and cramps, they constitute an aggravated
case of the worst type; whether this state shall
have come on without warning, or shall have SUI
pervened upon either or both of the preliminary
sets of symptoms already mentioned, time mus
not be wasted upon inert measures Such pa
tent will inevitably perish, and within very
few hours, if the paralyzed functions be not
quickly restored.
Should medical man be on the spot, moder-
ate bleeding, if it can be obtained, would be desi-
rable, previously to, Immediately after, the ad-
ministration of the salt, or of any other emetic
which may be preferred. la
The extensively deranged action of those or
gaus whose nerves chiefly derived from, or
connected with, the spinal marrow, the anatomi-
cal characters found about that great source of
vitality after death, in many cases OF this disease,
together with the success stated by Doctor
LANCE, Chief Physician at Constrad, to have at
tended the practice mentioned below, founded up.
on these views, in twelve out of fourteen aggra-
waited cases, fully justify the following recon-
mendations:-
In cases such as those thus described, let the
actual cauterv be freely applied to one or two, or
more Places on either side of the spine, or if for
the purpose of forming good sized issues. Should
the heated iron have produced-any excitement OF
the nervous power, and the salt emetlc nave
caused any portion of the bile to flow through its
proper duct, a great step will have been accom-
pished towards recovery from the stage of col
lapse: cordials and opium, judciously cdmnis-
tered; snapisms and other external stimuan's !;
mercurials, with mild aromatic aperients, which
the intelligence and activity of medical practi-
TONERS will not fail to adapt to the actual circum-
stances of each case, will conduct the patient
safely to the state of reaction.
The organs during the collapse of this disease,
probably owing to deficient vitality often give no
indication of having been acted upon by repeated
doses of certain powerful medicines, which under
other circumstances would have produced the
most prominent effects. l. is therefore suggested,
that this temporary insensibility of the system
should not inculcate the administration OF such
repeated quantities as could by accumulation,
when the organs begin to recover their vitality,
give rise to unfavorable results.
Thirst being most distressing symtom OF this
disease, the tempiature of the drink should per-
haps be left to the choice of the PATIENT but the
- o., oh, pnto naaH ri
ounces, and should be calculated with nitrous
acid if the patient will bear 1t.
As the symptoms of the consecutive stage of
feverish reaction ia cholera differs but little, if
all, from those of ordinary typhus, except in the
greater rapidity with which they but too often
run to fatal termination; and as this kind OF
fever is we'll known to medical practitioners, the
entire management of this stage of the disease is
left to the zeal and science OF the profession a
large.
Warm baths are worse than useless.-Evap-
oratory fluids, and indeed all moisture applied to
the skim seem to be contra indicated, for obvious
reasons Hot air bathes, so contrived as to be
applicable in recumbent posture, and admitting
access 10 the patient for the purpose Of friction,
may he useful.
1t is found to be advisable to put the patient,
while in he state of GOODNESS and collapse, in a
room considerably heated, up to 10 degrees, and
when the stage Of heat or reaction has conmen-
ced, 10 reduce the temperature Of the room to go.
1t has been found, too, that an emetic given ear
ly has been useful the emetic to consist of twol
teaspoons full of flower of mustard, mixed with al
little water.
Frctions with stimulating substances have
been benefcially employed, especially with spir-
its of turpentine upon the belly and limbs.
r. WILSON, Chairman.