The daily union. [volume] (Washington [D.C.]) 1845-1857, 1848-11-15

easily escape notice altogether.
1t must be repeated, however that whenever Asiatic
Cholera epidemic the slightest degree OF lOOscness OF
the bowels ought to be regarded and treated as the com
mencemen of the disease which at this stage s capable
Of being arrested by simple means but il neglected only
for few hours, may suddenly assume a fatal form
will be Indispensable therefore, the first outbreak
OF Cholera that the local authorities should Immediately
make arrangements for daily house house inspections of
the poorer localities in their respective districts this be-
ing the only practical means by which, in the most dan
geous situations and among the most susceptible sub
ects the existence of the pemonitOry symptom be
ascertaned in time TO administer the proper remedies,
as to arrest the progress of the disorder.
Heads OF families, masters OF schools and work houses,
prOprieOrs OF large establishments and works, such
factories mInes warehouses; wharfs and docks, should
either be their own inspectors employ some trustwor-
thy agent to examine daily every person in their employ
monitory symptom should be present. t-s-l
Each member of the Visiting Committee should be pro-
vded with proper remedies prepared IN appropriate doses
for administration ON the spot IN every instance n which
the premonitory symptom g found to exist and should
report every person treated as requiring the instant at
Dispensaries for bowel complaints should be establish
ed at convenient stations at which the neighborng in
habants may apply for the proper remedies ana ADVICE
the they attacked by the premonitory symp-
Experience having shown that the establishment of
Cholera hospitals was not successful the best provision
practicable must be made for afoing assistance to the
individuals who may need il at their own houses and
OF the best modes Of eecting this object will Proba
stfucted as in the special services required on this
occasion, and paid for devong their whole time to at
tendance the sick at their own habitatons, under the
direction of the medical officers. g aE
1t will also be necessary to engage sufficient number
of medical officers at suitable remuneration, some to de-
their whole time by day and night to the service OF
the dspensares and others to attend the sick at their
own dwellings, .t t5.r.. ~. ..gs.c yi .r.
AS, however, cases may occur OF extreme restitution
in neighborhoods and houses wholly unfit for the
tive treatment of the Sick provision should be made for
the reception OF such cases, either in the common hos
pitfalls, in the union houses, or in separate apartments
ondn
and ventilated
Medical authorities are agreed that the remedies proper
for the premonitoy SYMPTOM are the same as those found
eficacious in common diarrhGa; that the most simple
remedies will suffice, if given the lrst manifestation
of this symptom; and that the following, which are
within the reach and management of every one may be
regarded as among the most useful, namely-twenty
grains of opiae contecuon, mixed with two table spoon
fuIs of peppermint water with little weak brandy and
water and repeated every three four hours or ottene
the attack severe, until the looseaess of the bowels Is
stopped; or an of the compound chalk mixture.
with fifteen grains OF the aromatic CONNECTION, and
from five to ten drops OF audanum repeated IN the same
manner. From half drachm to drachm OF tncture OF
caechu may be added this last the attack Is severe
Hall these QUANTITIES should pc gwen e young persons
is recommended to repeat these remedies night and
morning, for days after the looseness OF the bowels
has been stopped But in all cases. It is desirable, when
ever practicable, that in this earliest stage of the
disorder should be had to medical advice on the
spot
such remedies, attention to proper diet and clothing
Whenever Asatic Cholera is epidemic, there is invaria
bly, found among great numbers OF the inhabitants an ex-
tendency to irritation OF the bowels and this
10 favor relaxed state 81 the bowels should. far
possible be avoded-such every variety OF green veg
eabe. whether cooked or not as cucumber and salad
1t will be important also to abstain from fruit OF all kinds
though ripe and cooked and whether dried or pre-
served The wholesome articles Of vegetable diet
are-well- baked but new, bread, rice, oatmeal and
good potatoes Pickles should be avoided. Articles of
food and drink which, in ordinary seasons, are generally
Tho rndiv d,alr
tion may, under this unusual condition, prove highly
The diet should be solid rather than fluid
and those who have the means 81 Gnoos,nx should i've
traed and invgorang diet avoiding sailed and smoked
meats pork, sailed and shell fish, cider, perry. ginger
beer lemonade, acid liquors OF all descriptions and ar
dent spirits Great moderation, both in food and drink.
absolutely essential to safety THE WHOLE
RATION OF EPIDEMIC PERIOD One single act Of in
speedy and fatal attack The intervals between the
meals should not be long; Cholera being uniformly
found to prevail with nens1ty among the
The practical importance OF these cautions might be
staes that n Russia the most intense Of all the attacks
were those that followed hearty meal, taken mme-
daely after protracted fast In our own country dur
attacks were observed to be those that took place in the
middle of the night few hours after heavy supper
The three fatal cases have Just occurred to sailors
who had been at Hamburg, and who were brought sick
to Hull turned out on inquiry to have followed very
shortly after the men had eaten large quantity of pums
and had drunk freely of sour beer and the two still more
recent fatal cases board the ship Voant, OF Sunder
land both occurred in drunkards, who persisted In the
practice of intoxication, notwithstanding the earnest
warnings that given them against the dangers OF in
,
On account OF the intimate connexion between the
terna skin and the internal lining membrane OF the bow
els warm clothing is OF great importance The wearing
of flannel next the skin therefore advisable Recent
experience the continent seems to show that was
useful to wear in the daytime flannel bandage round
the body, and this may become necessary IN our own
country during the damp and cold weather OF the ap-
Particular attention should be paid to keeping the feet
warm and dry; changing the clothes Immediately after
exposure to wet and maintaining the sitting and bed
rooms well aired, dry, and warm.
II NAV be necessary add caution against the of
cold purgative medicines, such sats-particularly
Glauber salts EPSON Salts and Seidz powders-whch,
taken in any quantity in such season, are dangerous
senna colocynh and aloes except under special med
ca direction. tHH
If, notw outstanding these precautionary measures,
person is seized suddenly with cold, gddness.
vomiting and cramps, under circumstances In which IN
medical cannot be procured, the concur
testimony of the most experienced medical authority
shows that the proper to get as soon as
into warm bed 10 apply warmth by means OF heated
flannel or bottles filled with hot water or bags Of heated
camomilc flowers sand bran, or salt 10 the Ieet ana
along the spine have the extremlties diligently rub
bed to apply large pouItice of mustard and vinegar
over the region of the stomach, keeping it on fifteen
twenty minutes and take every half hour tea spoon
full of sal volatile in little hot WATER dessert spoon
iu of brandy in little hot water, or wine glass OF hot
wine whey made by pouring wine glass OF sherry into
tumbler of hot mix in word to do everything Prac-