Lynchburg Virginian. [volume] (Lynchburg [Va.]) 1829-185?, 1832-08-27

tlanmatlon and congestion. Of the CORRECTNESS Of
this view ithe subject, there certainly cannot be u
doubt the truth OF which any one vii become con
yinced by observing the symptoms III all their lro
srcss, and by examining the condition and appear
ance OF most of the Vital organs after death la
many, or perhaps n mGjorliy of the cases, the In
tauInatory nctln II is not of that open or active
kind which we sometimes see ia other affections,
but partakins IN il very gieat degree Of the "
phoid character, and IN fact the disease resembles
very much, IN many OF ITS Appearances and SYM
tome, the con- est &c Typhus ie,et OF Dot. Am.
strong. It's an established AN universally udmit
ted faet. that whenever irritation exists in any part
of the system, there viii follow as n consequence a
determination or eflux of the circulating fluids 10
the same parts aud ifthe irritation, be OF sufficient
Intensity aud duration, will always terminate III
congestion aud inflammation.
! W. find TINS fact strongly exemuliiied IN the dis
ease now under consideration. W have here first,
irritation Of the nlimentary canal, 8 then luilanmu
non and congestion of a high degree, produclngthai
terrible and alarming prostitution OF the system,
known as the state of collnpsc. Knowing that the
primary effects of this disease consist III irr,,a-
ton Of the nucus membrancc of the stomach and
bowels, enables us 10 account iur the remarkable
fact, OF rs beng confined almost entirely Ia persons
OF irregular and Incorporate habits IN eating and
drinking for, the system OF these per5ons Is al
| ready prcdisposed to nn attack of the disease, by
the constant debility and morbid exeitahillty. under
| which these very organs are always constantly
lalerins, And II Is this too, that r.ldor3 the Che
lua amongst them So exceedingly fatal their con
atitutionS, already rackcd aud worn down by PR.
g!ous exccas.s, "annoi withstand the shock of so lofs
tlldable u disease. To escape this disease, all those
Of weak or irritable constitutions, all those whose
= ~ - H.
inlblts have prediSpoScI them To It's influence, 10y
inducing a debiIitatcd state ottho digestive organs,
should most cautiously and sedulously guard n
galnst every thing like an exciting causc, such rs
exposure 10 the rays Of the hot sun, the colds mud
damps of nisht, fatigue and exerton of body OF
mind, osoidins every think like heavy or ind,ges
tible food, all srcen or unripo fruits, all stimulating
drinks in short every thing that has a tendency 10
disturb The natural tone aud harmony OF the dlges
tive organs, Using prudence and temperance IN cy-
! cry thin%, aud dlScardlng nS much as possible from
Their minds, every thing Hike fear of the disease
J tJf. than this, there cannot be u more facilitating
aud deprcssins passion, that can opoinlo upon the
human system.
! Having NOW examined the natuta, pathology and
history ofttis disease, the practice OF curative plum
intended To lac pursued, 1t once becomes PLAN, sim
! pie aud obvimls. In the treatment Of cholcra there
are two important indications 10 be fulfilled the
first Is, to relieve the irritation and prevent eongos-
ton and inflammation, after thoy become estab-
llshed. Fortunately for US, The sninc remedies, II
used III time, which operate tanlieyc the one con
! dltion, tend also nj The same time prevent the for
mntlon Ut the other, 81 that both indications are 10
bc fulfilled by the accomplishment OF one grand oo=
lcct, aud tins l., 10 rcstot, the equilibrium of'tlt cir
culutlor, by II determination al the ilo~ Of blood
from the internal and vital organs 10 the surface
! a,1 .ytt.mfttt. L.. l,ar tho dbl. e..rrt al ,I..
practice, and on the Accomplishment Of this object
depends the liir oflhe patient; for, every cast that
terminates fatally, terminates by congestion. To
eff ct tins desirable object, the praeIlee | would a
dopt and recommend, aud which 10 ne loes tcem
the most reasonable and rational one tlat can h,
adopted, Is t%iiis-lu tho commencement Of the dis
rasr, and during the stage Of excitement, blood
should b. freely drawn from the nrnl, tie quantity
10 be r~estlPted entirely by the lae,ts produced al
ways, however, calryius II to an extent sufficient
10 produce II drcIie1 impression upon the pulse.
; Should the stage of excitement b. suffered To pass
without the loss OF blood. cups on leeches should
lhcn b. iolmediately applied Over the epicas;,ic re
| glon, and blood freely atstractcd-ior notlln. more
powerfully tends Ia pro,cnl congestion and rolure
inflammation, tlian the copluus loss Of the elrculs
ting fluid. Atthe same time slnnpaslns ofmnslard
seed should be applied TO tho extteinilies, and tLeii
operation assisted by tretIuus with stiinulatlng I'm
lmen,s aud eInbrocations, such NJ camphor, spirits
OF turpentnc or caycone pepper ttc'pcd IN brandy
or vin.gaf-in shout, my irfl'ant or application
that has "A tendency 10 invite II flow Of blood 20 the
e%x,rcmitics. The warm bath, ifconvenicnt, would
al this time have aliahpy efiec, IN assisting the nc.
ton of tie other remedies. Immediately after re.
be freely applied 10 the region OF the stomach and
bowcls.-ln addition 10 these external mcaus, a
combination of opium and culoInol should be gwen
as carly as possible after the commencement oftlc
attack-say fifteen or twenty grains Of the latter,
with three OF four 0ttlIc former, though the quanil-
~ of each IS 10 be regulated by the peculiar habits,
fnpdos of life, age, and ldlosyIlcihcy ottnc patient.
This combination has n very happy and powerful
rGect-thc opium tranquillHcs the irritation and re-
lIcves the spasm, whilst The calomel acting upon
the liver causes it To dissorec Itself ofthc vast accu-
mutation Of blood Under which II is laLoring, and
both conformity exert a powcttui Influence IN equal
lzlng the circulation by the great tendency they pos
sess to determine to the surface Except this, no
other medicine VII be regarded or should bcadmii-
ted INTO the stomach for, any thing else Will nj.
most certainly increase the irritation and excite
incnt, and con srqaentIy aggrayaie the disease. To
alay tac thirs, which IS often times excessive, the
patient my be allowed the Tree use Of irc-coid mu-
cilaginous drinks. Under the complned influence
al these remedial agents, IN avery short time the
equilibrium Of the circulation will be restored, yom-
ting and pnrglug ceases, the cramps are relieved,
the cxtremItes become warm, u gentle perspiratlon
IS thrown ont, and the patient falls into n sound and
natural sleep After continuing in this state for
several hours he awakes, complaining Of lltle or
nothing, excep, soreness in the abdomen and mus
cies OF the body, and great debility. All that now
remains to be done, is, to give Il gentle dose Of tss
tor oil to remove any remains ofthc offending caus-
es from the bowels. Such is the plain and simple
practice, certainly based upon correct pathological