Phenix gazette. [volume] (Alexandria [D.C.]) 1825-1833, 1832-08-16
Letter from Dr. Rhmeianier.

New York. 9Th August, 1882.
DEAR SIR: nave received your letter. and
should have replied before. had it been possible;
aud even now YOU must excuse my brevity.
There is but one Ch"lera here, 10 far as have
seen it-thi> is the Asiatic. | have seen no Che.
iern Mor5,ts, although some of our respectable
practitioners say they have seen 1t. There are
three stages of the Asiatic Cholera.
I. The stage Of diarrhea, of constipation.
or vomiting. cramps, profuse Preparations, OPP
pressve nausea These. single or combined. mark
the first stage-several are usually combined; but
the disease may take place without them, as, tor
example, where sudden prostratiOn and retreat
of the circulation to the large organs produce
congestons
Q. The stage Of collapse-this is so well de-
scribed that have nothing to add to the accounts
Of European writers.
Sd. The Typhoid stase-so call it. 1t &C.
ours in those VINO are relieved from the second
stage. Yet it does not always take place, for
suG.acute inflammation Of the bowels sometimes
follows; this stimulates dysentery, and Is often
mistaken for it.
Ihave marked these stages, and am confident
you will find them true We speak of Fremont
toru SYMPTOMS but they constitute the hrst stage,
and il the public would be convinced that the dis
ease commenced here, there would be great
saving Of lives. What is there to alarm III darr-
heal Nothing: but this diarrhni leads to COL
lapse or to death: for ] consider 'rhen collapse
ensues an drunkard, he is a dead muir. This
| YOU NAV be assured is the best impression which
the public mind can receive. Let every man
believe he has Cholera when dIarrhea commenc-
es, and YOU will save ninety out OF hundred
In this stage it is curable-very durable. In
collapse II is unquestionaby most difficult to ma
mage.
| In the first stage give one scruple OF calomel
and two grains of opium W"h great success
! The patient must remain IN bed ana ehdeaVor
to promote Perspiration.
in collapse, the patient may be pnt into warm
bath, and then be covered up warm. Alter this
use the following friction:
Take of powdered red pepper, gum camphor,
each 8 ounces.
Muriatic acid, one fluid ounce.
! Simple ointment, one pound
: Trituraie thu powdered camphor and pepper.
adding the acid. Then pour the mixture into the
ointment previously melted. carefully stirring it.
Rub at least half an hour with hard brush tour
times day, and after each friction sprinkle hot
powdered chalk. If no calome has been given,
let scruple with two grains of opium be taken.
and use small quantities of mucilaginous drinks
Repeat the calomel without the opium every four
hours, or minute doses of caomel. opium. and
camphor; prefer the former. II bile is secreted
the patient may be considered safe. When bile
appears. five grains Of caomel every four hours.
! In the third or Typhoid stage, cups to the tenn
pie and stomach, with ordinary means.
| have here given you, l am sensible, very
imperfect account Of this disease, and Of its treat
ment, but am so hurried that absolutely have
no time to furnish you with better description.
Yours, &c. w. .RhlNELANDER.
DR.. HENDERsoN.
Notwithstanding the repeated monitions of ply.
sicians and all others, that drunkenness invites
the Cholera and aids its operations, we still see