Richmond enquirer. [volume] (Richmond, Va.) 1815-1867, 1832-08-21

ances The mucus lining membrane Of the stomach
and bowels, though always through their whole ex
tent discovered symptoms of high inamatory action and
great congestion, being in eases highly infected with
bood and exceedingly vascular the vcr in every case
as well The whole Of the portal vessels con,yeteIy
gogcd with blood, the gablaler filed 10 iser,;, Iii,
gUmous bile, with spasodc contraction at the mouth
oil tie duct-the bladder entirely destitute of mine with,
gea, contraction and its coats The
arged and coneese. the spleen the heart,
anu ali the large vessels arOu absolutely turei with
great an accumulation Of blood The lungs a of col
Sc' wh evidently diniicn Of the usurl quaint.
OF me Circulating mud. the brain presenting in most
es lne same deficiency OF Isa blood, with frequent
eNa'aSauoIiors Serious fluid n the geniriccs Such wero
Tue appearances Usually discovered in ortem exam.
nation. 49, ~
Correct pathological views he formed Of envy disease
on ny carefully observing aud watching the symptoms,
and by paF1ent anatomical iuvcstie ation an II is only At,
ter we have obSined correct views the pathology Of
usease' na' we can venture with any prospects OF
cess In the administration of therapeutic oCcnts For
% we ascertain IFS seat, its nature, and the organs upon
wTn eNPcnds MS force, all out prescriptions be
bind and empirical and consequently either inert or In
lufious There is disease the character of which
seems TO be so little understood and the pathology OF
which so much overlooked neg iectedand strange 10
say there is none which proclams stronger language
or points the enquirer with more ,eng cerfeipfy TO ia
true pathological aud physiological character, Every
symptom, even thc Premouory, 70 prove, and
every post examination confirms the fact that This
disease IN ITS commencement consists, i'm irritation
OF the lining membrane OF the stomach and bowels and
terminating m Inflammation and congestion OF the
rccnesS OF this view of the subject there certainly cannot
be doubt; Of the truth of which any one in become CON
WINGED by Observing the symptoms in all progress
the vital organs after death In many. on pehaus ma
joy of the the inaumatory action is moi Ct that
open active kind which sometimes in other af-
lccnons but parakng in very great degree of the Ty
phod character and in fact the resembles very
much 10 many of its appearances and symptoms, the
gesuve yphus Fever OF Dr. Armstrong. IL is on
tabsed and universally admitted fact that whenever
irritation exists in any par Of the system there will follow
as consequence determination aiiuX OF the circula
ing fluids 10 the parts; aud the irritation be OF su
hcent intensity and duration, will always terminate ip
congestion and inflammation,
W. lind tbs ;soosc NOUS
uncer consideration We have here first irritation of the
aoenlory canal and then Inflammation and congestion OF
high degree, producing that terrible and Alarming pros.
traon OF the SYSTEM known the ofcoapse. Know
ing that the primary effects of disease TO consist in r.
lauon OF the nucus memhrance orthe stomach and bow
e' nes us 70 account Tor the remarkable fact ofiis be-
ing confined almost encre persons of irregular and in
temperate habits in eating aud drnking for the system of
nese persons Is already prcdsposed TO an attack OF the dis
ease, by the constant debility anu morbid cXcitabiy un
ger winch these very organs are always constantly abou
ng ANA ths TOO, that renders the Cholera amongst
Them so exceedingly fatal: stleir constitutions already
racked and down by previous cannot with
stand The shock OF so formidable disease To this
disease, all those OF weakorirrabe constitutions those
whose habits have predsposed ihom to its influence, hy
inducing debhiaed state of The digesiye ORGANS sod
most cautiously and scduously guard against every thing
like exciting cause such exposure tie RAYS of the
hot SUM- the colds and dainps of nish fatigue and rion.
OF body mind avoiding every thing like heavy or indi-
gesiibe food, U green unrpo fruits all stimulating
drinks in short, every thing that has tendency disturb
the natural tone and hapony the digestive organssng
prudence aud temperance in every thng dscarding
much possible from their minds every thing like fear
OF Olsease an ms, there debii-
ang and depressing passion that can operate upon the
human system.
Having examined the nature pathology and hir.o.
ry OF tins disease, the practice curative intention be
pursued, at becomes plain, simple and obvious In
the treatment OF cholera there important ndea-
tons to be fulfilled; the first j., relieve the irritation
prevent congestion and inflammation and the second
relieve this congestion and inflammation, after they be-
established Fortunately us, same remedies
used in time, which operate relieve the condition.
tend also at the time TO prevent the formation of the
other that both indications are TO be fu filed by the ac
his l. 10
the equilibrium OF the circulation, bv determination Of
the flow of blood from the internal and vital organs 10 he
surface and cNtremiies.IIere lies the whole
The practice and OH the accomplishment of this object de-
Ponds the lille Of the patient; for, every that terminates
fatally, terminates by congestion To eject this desira-
bile object the practice would adopt and recommend
which to me does the most reasonable rational
one that can be adopted, is thIn the commcnc ement
oil The disease and during the stage OF excitement, blood
should be freely drawn from the arm, the quantity
TO be regulated entirely 10y the effects produced; al
ways however, carrying 1t TO an extent sufficient
TO produce a decided impression upon the pulse.
Should the stage Of eXctecut be suffered pass with
ont me loss OF blood, cups CT eecheS should tben be inn
media'ey applied the crigae,rc region, booG
freely absraced-ior nothing mere powerfully tends
prevent congestion and reduce inflammation, than The
pious loss OF the circulating ldil Al the same time 81.
napasms oil musiardseed should be applied the
nites their operation assisted by cions with stin
a'ing lniments and embrocaous such cemphor spi-
s oil urpenne or cayenne pepper stepped in brandy
vincgar-in short any irriiau or application hat has
tendency TO invite l0l9 OF blood the cxtreu.ics-
The warm bath, IL convenient, would at this time have
happy ehecln assisting the action OF the other remedies
tar seed should be freely applied 10 the region Of The
mach and bowels. In addition these external means p
combination OF opium and caone should be Given as early
as possible alter the commencement bi the aitacksay fiji
teen twenty grains OF the latter, with three or ourGfo
former though the quantity Of each be regulated by
the peculiar habits, modes OF lie age and ido-yncracy OF
the patient This combination has avery happy and pow
ertu eiiecthe opium tranquzes fhe irritation and re-
heves the spasm, whilst the colonel acting upon the yer
causes 70 disgorge sefoCho vast accumulation ofboo
under which it laboring and both couiomty exert pow
cul influence in equsi2ug the circulation by the great
tn 1ffar tot
This no ohermedcine will be egarded or should be admit
ted into the somachj for, any thing else will almost GER
tainy increase the irritation enf and copse-
quenuy aggavate the disease. To aay thirst which
IS often times excessive the patient may be allowed the
free use OF ice-cold mucilaginous drinks Under the
combined Influence OF these remedial agents. i'm a
very short time the equilibrium OF the circulation
will be restored vomiting and purgng ceases the
cramps are relieved the extretnities become warm
gentle perspiation is thrown out, and the patient
Tails into sound and natural sleep After contnu-
ing in this state for several hours lie awakes com
planning OF little nothing, except soreness i'm the ab.
domen and muscles OF the body and great debility All
nat now remains 10 be done, is, give gentle dose OF
castor OIL to remove any remains Of the offending causes
from the bowels Such Is the plain and simple practice
certainly based upon correct pathological views that can
with confidence DC recommended in The treatment Of clio
era Tor such have been its results in every in which
II has been timely resofted 10. Compare this with the
ridiculous and murderOus practice Of pouring active
and dttusble smul1nts upon stomach already infamed
and highly ridble and The saving Of the one wis
he strongly coutracd with the fightul mortality of the