Weekly national intelligencer. [volume] (Washington [D.C.]) 1841-1869, 1848-11-25

vices eoured on this OCCASION and paid for dovong their
whole time 10 attendance the sick at their habtaions
Under the direction of the medical officers.
II will also be necessary to engage sufficient number OF
Aedcal officers suitable remuneration, devote their
whole tme by day and night the service Of the dispensa
RES and others attend the sick at their own dwellings,
Az however, may of extreme destiinion in
nechbohoods and houses wholly unfit for the curative
-nent of the sick provision should be made for the reception
of such cases. either in the common hospitals in the union
houses in separate apartments specially prepared for the
purpose and properly warmed and ventilated
Medical authorities agreed that the remedies proper for
the premonoy symptom the same those found eica-
Nious in darrhGa that The most simple remedies
will suffice, given on the first manifestation OF this symptom
n and that the following, which within the reach and
segment Of every one may be regarded among the most
useiunamsy, twenty grains Of opate connection, mixed
with two iabespoonus OF peppermint water or with little
weak brandy and water and repeated every three or four hours
or oftener the attack severe until the looseness OF the
bowels is soUped Of the compound chalk mix
tu with fifteen grains Of the aromatic confecton, and
from five drops Of audanum, repeated in the same
manner. From half dachm TO drachn OF tncnfe OF
techu may be add d to this last il the attack is
Half these quantities should be given young persons
der fifteen, and sill smaller doses 10 infants.
recommended to repeat these remedies night and morn
ng for days after the ooseess OF the bowels has been
stopped But all it desirable, whenever practical
be that in this earliest stage Of the disorder recourse
should be had TO medical advice on the spot.
Next in Importance the immediate employment of such
remedies proper diet and clothing Whenever
Asac cholera epidemic there invariably found among
great numbers Of The inhabitants extraordinary tendency to
Irritation Of theowes and this fact suggests thatevey a
Gle of food which known favor relaxed state OF the
bowels should far possible be avoided, such every
variety green vegetable whether cooked not cucum-
Der and salad 1t will be important Also to abstain from fruit
of all kinds though ripe and cooked and whether dried
preserved The wholesome articles Of vegetable diet
well baked but not new, Bread rice oatmeal and good
potatoes. Pickles should be avoided Articles OF food and
drink which in ordinary generally wholesome and
agree well with the ind vdual constitution under this
unusual condition. prove highly dangerous. The diet should
be solid rather than fluid and those who have the Of
choosing should live principally animal food, aftordng
The concentrated and invgorang diet avoiding saed
and smoked meats pork sailed and shell fish, cider, perry
ginger beer lemonade acid liquors Of all descriptions and
dent spirits Great moderation, both in food and drink,
absolutely essential safety during the whole duration the
epidemic period One single act of ndscreon has many
instances been followed by speedy and fatal attack The
intervals between the meals should not be long, cholera being
nnfomy found to prevail with extraordinary intensity among
the classes that observe the proracted fas
and some European countries. 49,
The practical Importance of these cautions might be Illus
traed by striking examples Dr.. Adar Crawford that
IN Russia the intense OF all the attacks those that
followed hearty meal, taken Immediately after prdraced
fast In country during its former visitation, the
most frequent and deadly attacks observed to &c those
that took place in the middle of the night few hours after
heavy supper The three fatal cases that have just occurred
to sailors VINO been at Hamburg and who wee brought
SEX to Hull tked out on inquiry 10 have followed very
shortly after the had eaten large quantity of pums,
and had drunk freely Of sour beer and the still
cent fatal board the ship Voiant Of both
occurred in dunkas. who persisted in the practice Of ntox
icaon, notwithstanding the earnest warnings that given
them against the dangers of inemperance.
On account Of the intimate connexion between the external
skin and the internal lining membrane Of the bowels,
clothing IS Of great importance The wearing Of flannel
the skin therefore advisable Recent experience the
coptnen to show that it useful to in the day
flannel bandage round the body and this may become
necessary country during the damp and cold
ther OF the approaching session.
Particular attention should be paid keeping the feet
and dry changing the clothes Immediately after exposure
wet; and maintaining the sitting and bedrooms well aired,
dry, and warm.
may necessary add caution against the cold
purgatye medicines, such sasparculary Gauber salts,
EPSON salts, aud Seidi,z powders-which taken IN any
quantity, such season, dangerous. Drastic purga
tyes of all kinds should be avoded-such senna coocynh,
and aloes, except under special medical direction
W. notwithstanding these precautionary measures, person
is seized suddenly with cold, giddiness nausea vomiting,
and cramps under circumstances in which instant medical
sance b. procured the testimony Of the
most experienced medical authority shows that the proper
course Is 10 possible into bed 10 apply
warmth by Of heated flannel bottles filed with no.
water bags # heated chalnome flowers sand bran, salt,
70 the feet ard along the spine lave the extemties dill
gently ubbed to apply large pouce Of mustard and vine
gar over the region OF the stomach, keeping fifteen
tAenty and TO take every half hour tea-spoonfu
Of sal volatile little hot water, drssert-spoonfu Of
brandy in little hot WATER wine glass Of hot wine whey,
made by pouring wine glass sherry into ,umbe Of bot
milk in won, TO do every thing practicable to procure
warm general perspration, until the arrival OF the medical
attendant whose immediate under such circumstances,
is indispensable.
has not been deemed necessary proper give nsrc
tons Tor the treatment Of the advanced STAGE from the conf
dent expectation that the proposed arrangements will supply
medical attendance oil that may reach that condition,
which means the specific symptoms of each indiydualcase
will receive their appropriate treatment.
Though the Of danger may demand eItraord
nary exeron and sacrifice the part of all classes yet this
period will probably not be protraced snce the former
visitation of cholera seldom remained any place which
attacked longer than few months, and rarely than
sw weeks while il may be reasonably expected that the i'm
royemens effected with view check progress will be
afay efcacious in shortening its duration and that these
improvements will be temporary, like the occasion that
allied for them, but will be attended with lasting benefit.
In conclusion, the General Board Of Health would again
the consideration that whatever preventive OF cholera
equally preventive Of yphus and Of every other epidemic
md notwithstanding disease and would earnestly call
he attention of all classes the striking and consong fact
hat formidable this maady is in its form and de-
eloped STAGE there disease against which is in our
to take such efectual precauon, both collective
ommunites and private individuals by yiglant attention to
in M first premonory stage and by the removal Of those
gences which known promote the spread OF all epde
pic Diseases Though, therefore, the issues Of not
hands, there ground for hope and confidence in
sustained and esoue employ of the proec
ur reach.
BY order Of the General Board Of Health
HENRY AUSTIN, Secretary.
lI-CoRy Of Instructions issued By the Poor Lar