The daily union. [volume] (Washington [D.C.]) 1845-1857, 1849-06-06
Treatment Of Cholera.

OF friends was subsequently published IN the Nashville
Wing.
AS il mbodies the views OF treatment by who has
had experience lnhe epidemic at New Orleans, IL is pub
shed for the benefit Of practitioners in this vicinity
account of the rapid dissemination through the
columns of the daily press than those OF medical
journal.
Cholera has four distinctly marked stages:
| LIST. Loose objections.
| 81. Watery discharges by the stomach, bowels, and
| skin.
3D. Corpse-lke codness, and blueness OF the skin
collapse.
ith. Reaction, cholerc fever, state strongly
bling iyphus.
The first consists in simple ooseness of the bowels
the OBJECTIONS being frequent and more OF less copious
and thin, the consisiece decreasing with each evacu
alton until ii at the plainly marked stage Of
the disease. The second period the excavations
consist of little else than watery fluid With these
discharges the thirst is always intense and the voice be-
gins to fail. The stomach becomes involved pouring
forth the same watery fluid greater less abundance
| and ushered in with this evacuation from the stom-
ach, bowels, and skin and apparently Intimately con-
neced with II rs seen the most painfully distressing phe
nomenon OF this terrific malady, the cramps and spasms
causing the patient at times 10 writhe agony, giving
forth every expression OF pain that human torture could
provoke.
The third period follows and consists of collapse
This naturally aimed by the waste of the watery
portion OF the blood, and the great exhaustion OF the
nervous SYSTEM intimately connected with it, and with
the violent cramps and spasms The voice has become
feeble the water excavations cease, the agony
for the spasns have also ceased and the patient
lies Indifferent apahec, fearless and Graves only drink.
The thirst continues intense, becomes Unsuitable and
seems 10 exist IN direct ato 10 the quantity OF Watery
fluid poured forth by the discharges, and to depend
thereon. 1t arise from instructive desire and
urgent demand TO supply the waste and drainage OF the
system The whole body shrnks, the features become
contracted pointed, peculiar, (cholerc Sountenance the
eyes deeply sunken in their sockets balls rolled upwards,
or NATURAL expressing great suffering or total indifference
The skin is cold corpse and moist OF blush hue,
varying both in intensity of color and extent OF surface
hands q
ana corrugated, ana srealy sh1unken, having los. al
'o t ~ ieN puin' GU coH -" - oIs I
iaeu ~ wa i S,iAe WASH y ona h 'e Puse
- so.'ce'y uiseIih'oe VI eAunI'' gnu 'o ao ~ :e
neart eeole; me ar enters ,e lungs out lesIatloh
Wh sense o, sunocaoh rom he Gmasea
oonu,'ion " tlio o'oou '.i Pie' ny W. h yii"s
i doea not - ao ito nsua Which exnnse co
aaTo srfco 70 tb action nj tho air througbomt ia mi
nnte and The voice enfeebIed and
greatly diminished has become husky and nearly extinct,
and the demand il makes is still for cold drnks-ice wa
fer They COMPLAIN of being parched, burning up and
vet the whole surface is lev cold and possesses an ex
allied sensbity Snapisms bIisters &c. are loudly com.
planned of as burning like fre-insuppsrabe even the
hand of healthy person brought in contact with col
apsed cholera patient have heard loudly complained of
as burning The tongue is cold broad, fiat and dry, or
mucous and nasty. The abdomen reraced In short the
whole BODY has become collapsed The blood changed
in its Character deprived of its waery portion no longer
aveses its accustomed rounds but collects the heart
and veins especially the larger trunks in undue quant
y. This change of place arising from change IN the
spssiity Of the BLOOD gives rise in its turn to other
changes There is areria blood-here is secre-
ton, perhaps, except that Of befor as before stated
the blood has orsaken the arteries and rereated into the
veins
Throughout all this frightful havoc of the physical
Frame the mind calmly, clearly, self possessed,
and begns-to feel the destructive influence. gone
with but few exceptions) only when the brain has
ceased be supplied with araed BLOOD only when the
individual is in drtieuio norris.
The fourth stage seldom occurs. But when an indi-
vidua becomes collapsed and lives through IT, the fourth
stage is PRESENT. is of reaction resembling typhus
Treatment
his ALWAYS If oreat and sometimes even Of vital i'm
nor,ance thot tho nat;ant shonId lia in he'd
In he frat stare give caIomel and onnm ACCORDING IN
Tho nature and freonencv nj The stools -
hav. nsuallv commenced in ordinary cases hv giving
ona If The following mills after each 1oose evacnation
viz - way -" f
C,I ,h;,
panna en-" nn;Syn s'si ;, ao;,
nGMG a, uPi , pa =; s; .1a,"s III
A 1 anu ~ nv N pms -,
~ nus way III he course OF d lew hours you VIII
ooaoiy give twenty grams OF calomei and lomr glaAs
OF OPIUM Wnch' IN ordinary cases. VIII geheraiy prove
sumcient ana even IN most severe cases you VIII nave
aamnisereu as much ca,ome as VIII DC necessary IN
When ms mas proved sunicent me eyacuallons WI
nave oeGone i less frequent anu cnangea III
esPeclay III cohs's'ehIe III ts carry stage the uahBe
greater inc more frequent ana the thinner or more
i4uu dnu avery TIC oooo may peSoI. iou eou WI
tnue therefore, one OF the caomel and opium Ps
aitet eacn evacuation Oh MtS MdFdctHf, uhu tue Whoe
III