Herald of the times. [volume] (Newport, R.I.) 1830-1846, 1832-09-13
MING, SEPTEMBER 13, 1882.

exhibition Of camrhor--thc doses being
diminished to about one fourth part, and
4 repeated every three, four or five MIN
utes, aud the other measures hereafter
Z detailed faithfully enforced. But the
majority Of collapsed patients, when first
/ seen by the physician, happily have not
| yet sunk TO the above discouraging con-
! dition; and though The pulse at the wrists
shall have ceased, the extremities and
/ face shall be blue and shriyelled, and
with the tongue and breath evince no vi
tai heat, if there be ordinary constitu-
'tional stamina, it is in such cases that the
camphor treatment exhibits most con-
vincingly its specific powers; for in such
cases, if experience be the test, 1t is en-
titled to confidence that can be claim
ed by no other yet promul gated.
lst. The patient should be immediate
'ly undressed and well covered in bed,
and woolen stockings placed upon his
hands and feet. cd. Three drops ofthe
spirits of camphorf in table, spoonful of
water, or (what is equivalent and Of more
convenient administration a tablespoon
tul OF camphor mixturef should be forth
with administered aud repeated every
fifteen minutes. Sd. An injection warm
as can be borne, of the camphor mixture
somewhat less than half a pint, every
half hour, or oitcncr If not retained. 4th.
The abdomen and chest should be COW
cred with flannel wet with camphor spir-I
/ its--the limbs above the stockings rub
bed with it, and the bed clothes about
, the patients head so sprinkled with 1t that
camphor may be inhaled with every
! breath. 9Th. The extreme thirst should
! be alayed with a table spoonful of cold
water, or pure brandy and water rery
,ceak, as the patient may prefer, every
| five or ten minutes.
! These measures should be unremitting
until pulse and warmth be restored TO the
frictions, ifn cramps be presently may
be discontinued. The full dose OF cam
phor must be maintained until free per-
spiration becomes general, and the evac-
uations comparatively inirequent; then
they are to be promptly reduced to one
drop Of the splits or =" teaspoonful of the
mixture. So soon as the evacuations
are small and rare and begin to e,ince
bilious tinge, (as is often the case at an
early period, tho iaierrals should be ex-
tended to 20, 80 or so minutes accord
ing to the degree Of hea', s. perspiration,
and thus continued until the watery dis
charges shall have wholly ceased. AZ
ter this occurrence, most patients require
the repetition of the one drop every two
or three hours; but in some, this small
dose, once in four, six and even twelve
hours, proves abundant for the continu-
ance of active perspiration, while The
hazard Of orer erciiemem and depressing
narc0Sis, is thus with case avoided.
The sweating process in this manner,
fully though cautiously sustained, is to be
pursued in collapsed cases at least thirty
six hours, every exposure which may ar
rest its salutary influence being careful
ly avoided In the course of it, the in
satiablc thirst gradually ceases, and the
patient after little light nourishment,
two or three times, generally will relish,
and in moderation will take with great
advantage, every three or six hours, beef
steak, mutton-chop, or broiled chicken,
with good stale wheat bread; and for
drink, brandy and water, and pure Port,
or Sherry wine. These articles should
constitute the principal diet Of the con-
valescent, whose decidedly expressed
,caats, as the utterings Of nature not to be
disregarded, should be INDUCED, yet
with great temperance. Experience
has amply shown, that by management
so simple, convalescents, after severe at
tacks Of cholera, may with very few cx-
ceptions, be safely conducted through its
consecutive dangers to confirmed health; +
always however, peculiarly predisposed,
as they must be in their debilitated .tdte,
to renewed a,tacks,) requiring the rcit-
Grated admonitons Of their phys 1'ln to
unceasing vigilance. II
The Cramp o. Spasmodic Stage. i
This stage ordinarily Precedes that OF
collapse, in many instances runs into II
and like it, is often accompanied by pro-
fuse excavations, fits Of vomiting, cold
extremities, sc. II the suffcrings be
very severe and collapse threatened, II
calls for treatment as active as that Just
detailed, the frictions being vigorously
applied to the seat of the cramps. 1t
v vomiting be predominant symptom, the
prccordia should be rubbed with the
camphor spirits and only one drop in tea
spoonful Of water administered every
three or five minutes; il repeatedly re.
lected let a like quantity be diiiused
through three, six, or even ten times me
water, and given by the tea spoonful t,li
a larger dose shall be retained. By
this mode Of exhibition, camphor never
fails to overcome the most violent vomt
ting occurring under this epidemic, aiter
a an. "a. .pn NH the ,