The Arkansas advocate., 1832-09-26
From he Aeao Yofk Euening Post.
 SPASMODIC CHOLERA

From the Aeqo York Epening Post.
 SPASMODIC CHOLERA.
 The Committee appointed 10 inyesti gate the character, causes and symp. toms of Cholera Asphyxia, report in part, on the symptoms.
 The best writers on Cholera Asphyx- ia, generally agree that it is invariably preceded by the following prcmonitory symptoms
 fine patient complains of iassitude and partial uneasiness in the region of the stomach, accompanied with some slight evaeuatious from the bowels. in- sufficient however to excite his atten- ton or alarm. As these symptoms n- crease, and the evacuatons become more frequent, from two to twelve times Ia day, accompanied with increased griping, his countenance becomes sharp and dark, of which he appears 10 be perfectly unconscious. Occasional nau- sea sometimes appears at this pefiod.-- These symptoms generally continue va rying in severity from one 10 ten days before the second stage superpepes.-. The eyacuations at first are of dark brown or biackish ilee. As the loose ness continues, they become less of natural appearance, until they assume the conscience and aspect of dirty wa fer. Some headache. cramp of the fingers, toes and abdomen, slight giddi- ness and singing in the ears, accompa- ny these symptoms. Sometimes a cos tiveness of two or three days duration supervenes which is immediately suc- ceeded by return of the diarrhoea, and in few hours after, by collapse of the whole system, with nausea and vomiting.
 It is during the prevalence of these premonitory symptoms, that the mind of the patient should be seriously i'm pressed with the vital importance of calling in medical aid. In this stage it IS q simple disease, caused by morbid poison taken into the system, which na- ture, in producing diarrhoea, is exert ing her feeble powers to dislodge, which are rendered still more feeble. every hour the enemy is permitted to fortily and entrench itself in those or gans more particularly subjected to it's influence. The manner in which this poison is to be expelled, is by aiding the efforts Of nature with active and powerful cathartics, until the immense discharges of feculent and horribly of fensive dejections, demonstrate it's total expulsion from the body. But if this opportunity be lost, or instead of evacu ants, stimulating liquors and opiates so indiscriminately recommended by some. should now be administered, the disease would acquire more strength, and na- ture, subdued, would in the same ratio. yield and sink into the second stage of the disease.
 The attack of the second stage is ge- nerally made between ten o'clock at night and ten o'clock in the morning. and is so sudden and violent, that the patient often compares it 10 the stroke of club.
 Frequently the patient awakes with an ardent desire to 20 10 the water elo- set, or lie is "struckn indescribably on rising in the morning, or soon affer.- A sudden and greatincrease of the pre- vlous diarrhoea or violent inclination to have a passage, without pain, is in most cases the first symptom described by the patient. Vomiting occurs si- simultaneously, or soon follows. Cramps. occupying successiyely the soles of the feet, the calves of the legs, the thighs, and'in less degree the superior ex tremlties. supersene instantly, or in the course of two or three hours. There IS pain in the region of the stomach, restlessness and much thirst. The eva cuations resemble barley gruel. Still the pulse is not depressed, and the pa tient can keep on his feet.
 He nov arrives at the collapsed stage