New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1865-10-07
FROM TURKEY.
Decrease OF tho PestiIcncc i'm Constantine.
Ple-Bncrcasc in she Provisces-uow it
IL Treated by the American missionn.
ries-Their Success - The Remedies


f. Treated by the American missiona.
rics-Their Success - The Remedies
Used.
From Our Special Correspondent.
CoNsTANTNorIR. Sept. 4. 1865
] herewith inclose to you a copy OF the paper
Just published here by the American Missionaries on tho
treatment of epidemic cholera The valoe OF this paper
is proved by the success which has attended their L.
bors among the poor Of this city. No pbyscisn in this
city can show so large percentage Of cures. The
terrible total Of so coo deaths in the city shows the
virulence Of the disease. Nothing like il has ever
been known before in Turkey. The disease has now
disappeared from Constantnope, although few spo
radio cases occurring from day to day But in the
provinces is spreading IN all directions. In Broosa
Marsoran and other interior cities 1t has appeared
within few days while the Danube. the ooass OF
the Black Sea and the Marmora. II has ragged for
month with great virulence. Snlina has been literally
Gecimated b. 1t. The following Is tle siateileht si
uded 10:
AS the cholera seems TO be extending into the prov
nces where GOOD medical treatment can SELDOM De
had YOU will perhaps publish the ollOwii statement
which under existing crcums 0Does should not be con
sidered intrusion into the sphere OF medical SCIENCE
The fearful mortality IN epidemic choers seems 10
arse much from the difficulty OF treating II sue
ceSsfuly as from the impossbty Of 0baiulDg the sid
Of physician in the first stages of the disease In
majority OF cases the cholera has done s work before
startinOpe not procts OnG physicians, but thoir
connection with the native population has made their
duty during the psst weeks 10 do what they could io
the poor suffering from cholera IN the great kGans oil
COnsantluople and near their places OF residence
They have administered medicine to more than coo per.
SONS Some 400 cases Of cholera and chocrine have
come under their care. The mortality among these
has exceeded five per cent OF the whole num-
Der.
Setting aside all tie lighter they have treated
some $40 Of fully developed cholera. The itor-
tally among these severe cases has been IL per cent
1t should also be remarked that most Of these have been
treated under very unavorable circumstances. In the
almost inconceivaby filthy and crowded rooms Of the
kbans and i'll several cases the Iaient was already III
diving state when first SEEN TIE general course OF
treatment adopted has been as follows: In the ffsi
stages of the disease before the collapsed state il has
been their sole object to control the purging aud yomt
Ing In every where these symptoms have been
overcome recovery has followed. The application OF
strong mustard pasters TO the abdomen has never teen
neglected any case. and where The disease has made
much progress the mustard has been mixed with vim
egsr instead OF water. To check the diarrhen, the
Rev. Dr. Hamlin's cholera mxtnre Las been used VIZ;
mixture Of equal parts Of audanun. tncture OF rim
tarb and spirs Ct cempbor. HE initial dose Is 80
drors for adult but In cases Of real cholera the rs
dose may he Go drops TO lie increased ssy ~ drops
after each discharge up 10 O or even 10 drops and
10 be continued 10 small and decreasing doses every
three four hours Tor "a hours after tie cessation o
the discharges 1t TO be remembered that 10 danger
exists from the medicine until II controls the discharges
In cases OF vomiting. they have used mixture given
TO DR. Hamln by ply stefan of great experience In the
treatment of cholera consisting o equal parts o auda
num- tDcture OF capsicum tncture 81 ginger and tine
ture Of cardaInon seeds. Initial doses 80 to 80 dro
but in severe and obstinate cases OF vomiting. tea
spoonful may be- given mixed with two teaspoons Of
brandy aud little water. This mixture Is also useful
in certain cases ia checking the diHrhea and may be
given In the dose the first mixture In certain
cases where these mixtures have 1Lhed TO stop tie
eyscuailoDs they have been exchanged for prepared
chalk (ord fcraIa say u or 20 P1nns OF chalk with
10 drops Of laudanu and 10 drops spirits OF cnmphoT
administered amer each evacuation. and continued
once in four hours for - hours after the cessation ~
other Injections OF thiIi
~ cup Of cooked starch GOOD with 40 10 20 drops
~ lagdsnum. repeated pher each evacuation, have
proved move cflCacous than anything else. and they
sacud te tried every severe case. In the collapse
stete thcrc Is always GOODNESS Of the cIrcmiIes. often
omen dlscooratiOn OF the face with general sin.ng
Of the Nhole system For iouno ~ tbls stat.
must be made 10 keep ny the circulation Of the blood.
Mustard plasteTs applied 10 lie abdomen ard then
to the feet calves Of tie feet and back OF the neck
Bottles Of hot water hot bricks should surround tie
pa;ent and the feet haLd, and limbs should DO con.
s;anty and vigorously rubbed At the same time effects
TO check the excavations should be made above
especially the OF injections aud Of the second niI
ture. In this stage brandy has been used In small
(soiueiiues large and frequent doses as stlmniaDt
with very good effect The free us OF brady
sLOnld cease es coon rs reaction hos taken
Place. In certain cases IN ammonia ointment has
been used upon the spine IN the collapsed state
with the best effect When typhoid SYMPTOMS
follow the subsiGence OF al attack OF cholera IL
has been found that almost every ossc with rice
water diet aud the free use Of carnomils tea. these
symptoms would disappear o! themteves in nom one to
five DAYS small doses Of sweet spirits Of inter may,
however be gwen and IN some cases small doses Of cal
onel and opium have been found necessary 10 the
toraton Of neath when the patient Is len very weak
QuiniDe or gentum may be gwen. Intense thirst Is
common in cholera cases For tins gum Arabic water
ard camomie tea may be given IN small qanniy but
TIE drinking Of water shonld be carefully prevented
Great care should be taken Of tie diet during ani after
an attack OF cholera On the fret day nothing should
be eaten. 90
Afterwari rice alter, arroTroot cooked with water
camoms tea, and such thiogs should be chosen. The
above method OF treatment Ia lot presented as sub
stituie for the aid Of good physicians who should al
ways be called at when they can DO found. but
simply as a guide ~ those who may be compelled by
force Of circumstances to act by themselves cOnsus
and others In interior cities will provide themselves
with these simple but powerful medicines make il
known that they viii administer them gratd0usly to
all who have any symptoms OF cholera. they may DO
much 10 check the progress Of this terrible Epidemic
for cholera may be prevented IN ninety eight out
Of hundred by giving instaLt attention TO the fret
signs OF diarThea. Finally essert unhesitatinsy
that cholera not strictly contagious disease and no
need fear to labor with the sick II he takes ord
Diary precautions