The North-Carolina standard., 1849-07-11

The CHOLERA. DR.. l.. Cox of this city, has is
sued little pamphlet upon this disease, which at
this time will be useful, if widely circulated.
The great point that he makes, is, that what
called 'the premonitory symptoms" Of the Chol-
era the Cholera itself, and must be attacked as
such.
"DiarrhGa therefore, is regarded as the grand and
ruling feature of the disease, and upon its proper treat
ment depend all the succeeding symptoms we'll as
the final result. The common Cholera of the country
commences in the stomach, with pain and nausea,
first of the usual Ercal matter and then of bile, with
violent pain in the smaller intestines In the Epi-
demic Asiatic Cholera, on the contrary, neither
nausea nor pain is first manifest. The patient is
first attacked with looseness, without pain then come
thinner dejecons large fluid passages, and finally
pure fluid, of marked character, in large quantities,
with great violence yet often without pain nausea.
There is, therefore, clear distinction between the
two diseases.
The Doctor then proceeds to treat of the Phil0so-
ply of the disease, and the way meet it. Cholera,
the Doctor regards as simply sudden, violent dis
charge g The fluids the biOod. And this theory
plains every symptom of the disease. The exhaus-
ton which follows is precisely similar to that induc-
ed by loss of BLOOD except the difference in the color
of the skin and that is explained by the fact that the
IOdter of the blood, instead of the red blood dis
charged. Nausea attends both hemorrhages. Cramps
always manifest themselves in case of death from
loss of blood The sudden reduction of the bulk of
the body is ascrbed to the cause.-the loss of
its fluids. The same thing accounts fully for the
coldness of the surface, we'll for the burning
heat of which the patient complains. The collapse
of the whole body, the sinking of the eye the shriv-
elling of the fingers and the pnched appearance of
the features, all bear testimony to the fact that the
blood vessels have lost their fluid contents So also
of all the other symptoms.
He closes his treatise with the following Directions
for Treatment, which we copy in full:
directions for Treatment in the .7hsence Of Physician.
In order to serve some guide in the absence of a
physician, it will be we'll to recaptulate and to di-
vide the disease into its several Stages briefly stating
the several treatments in each.
T. First We have what might he considered strict
ly the nciPient stage This stage is often unnoticed,
perhaps does not always OCCUR but it most gener-
ally happens and is characterized by loss of appe-
tte, nansea slight disturbance in the bowels fee
beness of the muscles, and languor. Here the reme
dy is,
LIST. Rest in the horizontal position, if possible.
Cd. The use of cordias, such eight drops of
spirits of camphor table spoonful of brandy with
water, medicine only, and not to be retained
afterwards as diet drink and great care to avoid all
improper articles of diet and all exposure of the per-
son to irregularities of temperature.
ii. Then the stage of Giarrhea comes on, without
pain and is marked by its insidiousness only. The
remedies are
1st. Rest on the back.
I'd. The of suppository of opium, consisting
of grain, which is calculated only for the begin
ming of the diarahea and in this is often sufficient
to arrest the disorder without further activity In the
treatment.
Sd. In addition the patient should use camphor or
brandy as before directed, either ammonia, other
cordials. -
Ill. The next stage may be regarded as the advanc-
ed period of the darrha when the focal contents of
the bowels having passed off, there is simply the
discharge of rice-water This is the immediate pre-
cursor of collapse. The remedy here must be more
potent than in the former case.
1st. Rest in the horizontal posture.
I'd. An injection of from two to four tea-spoonfuls
of laudanum to be instantly repeated if the first does
not remain. This frequently closes the bowels for
period of from three to five days. If at this moment,
before collapse takes place, you succeed in ar
resting the discharge from the bowels, the patient is
safe. If not, he will assuredly die.
Sd. The next object is to restore the fluid for the
blood. If nausea vomiting prevail the best reme
dy is ice ice-water Chicken tea and other drinks
should be freely used.
4th. The cordals are then of importance. Brandy
and camphor all important, but nothing without
opium can be relied on.
w. When collapse has taken place, the same in
dications Of treatment remain, but in degree
urgent. The treatment in larger quantities
badly always, provided coagulaton of blood has not
taken place. But in this there is possibility
of recovery.
If the patient will implicitly obey these principal
directions, there is need to fear. The disease is
diarrhea easily checked. Of this it is well to be
afraid, even when unattended with pain. In its ten
dency it is fata but it is, perhaps of the easiest
possible diseases to cure if it be subjected to pro-
per and timely treatment. ~ Y. Express
Missouri. The Metropolitan, the State paper pub
hshed at Jefferson, says: '' The unanimity which
we have found to exist among the Democrats, with
whom we have conversed since the publication of
Col Bentons appeal is truly gratifying, although it
Is neither more nor less than what expected We
nave not heard one member of the Democratic party