New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1866-01-25

bsciish tTeace and blood dark that when extended
on white surface 1t resembles In color the piece Of the
darkest cherry IL often found In the arch Of the sorta
aud in the other great srteri trunks. The principal
vsnous vessels are usually found engorged-ths most
forcibe injection couId not have completely nned
| them-and the contained blood 10 black and sirupy.
The vessels and membranes Of the brain frequently
turgid with blood. particularly toward the bsss A
fuid 10 sometimes found eufed into the eonvoutions
in considerable quantity. with more or less serum
In the lateral ventricles. The blood.yesses Of the
vertebral column and spinal cord may b Doticeebly
congested, and In sone cases there marks Of in
6ammstory congestion in the larger nerves. Bot the
In which the brain presents natura appearance.
and those In which the ynuses and the veins leading to
them are stuffed with almost black blood, Of equally
common occurrence
TON.
The consecutive fever Of Cholera Is not integrsnt
and necessary part Of the disease. cannot be dstin
guished from ordinary continued fever except by
the rapidly and fatality Of its course. is the result
Of natures effort to herself from the stunning
shock that has Frustrated her. and the oppression that
keeps her down.
Cholera Is only cognizable riA certainty during the
cold or "blus perod Of the three stages, the collapse
alone Is true Cholera.
Where medical measures have been promptly. ener
geticaly and successfully employed. the essential and
dagnostc symptom sudden sinking Of the circulation
has often not developed ITSELF and there are cases where
an excited vascular action has accompanied the fret
tumut Of the system In Cholera. These are precisely
the cases which yield most certainly and promptly to
the remedial measures In India II has been observed
htaA- 1nnn
the European soldiers who usually mbibe spirits Freely
at the mmencement Of the attack. During an lava
sion Of Cholera In Malscca and Burmah in june and
July 1852 the writer Of this had medical charge OF an
East India Companys steamer in the Bay Of Bengal
and the Straits Of Malacca The ships company ""
composed Of Europeans and nstives-Malays and Mo-
hammedans-in about equal proportion. Under the
peculiar treatment. to be described further on. not
single case Of collapse occurred among the Europeans
all Of whom "indulged" literally. the officers In wine
and today the In their regular grog twice or three
times day and in irregular drinks" as often as they
could get them; whereas among the natives most OF
whom were abstemious by reason Of "pety" or vows.
every case was collapsed bat the recoveres even from
the cold stage. amounted to eighty per cent
the superficial veins and arteries be opened in the
cold stage tie contained blood may flow ont; but their
There Ia no authentic fatal case Of Cholera on record
where the circulation has not been arrested in the ex
tremities at least, long before death.
An increase Of temperature is often observed. Just
before dissolution; but the development Of heat In such
10 ances is PARTIAL being confined to the trunk and
head, and Is fatal symptom. This mocking warmth
IA generally appreciabe for some hours after death.
Tie application Of boiling water to the skin in the
q nj
some patients are insensble to the operations but 1t Ia
certain that In body but Just dead Of other dis
ease boiling water win visicate readily. So extreme
ia the dmnutiou or 80 complete the destruction Of the
nervous energy the skim In the cold collapse Of Chol
era that there 10 less vitality there In such cases the
patient being still alive than In the skin Of body re-
Gently dead Of different diseass The writer has ap-
ped boiling water to the feet and lips OF patients In
india without eictnR tone or gesture Of complaint
The change in the condition Of the blood-"dark'
black or tarry thick. ropy or srupy"-is fsly proved
To be In the ratio Of the duration Of the disease the
blood moro or less rapidly changing from natural to
morbid state,.as the disease advances such 10 the
general rule Observe that the blood is usually found
to be less changed In those cases OF Cholera which are
ushered In with excitement than where collapse has
occurred ct an early period Of the attack.
The bloodis sometimes found dissection to be OF
az dark color in the left in the right side OF the
heart-afording reason to believe that In the whoe
arteria system It is equally changed In many cases
the temporal artery has been opened after attempts 10
procure blood from the brachial or uguar veins had
failed and the blood In the artery was found dark and
thick like the yenous blood; It flowed In languid
ropy stream, and then the artery collapsed.
Hiccough 10 favorable sign and seems to announce
the return of circulation especially when 1t occurs In
the intermediate moments between the threatening OF
death and the beginning OF reaction.
While burning thirst. pain at the stomach. cramps,
ssphy xis, clammy sweat cadaverous coldness' ana
sphonis may all be present. vomiting and purgng may
be absent, and yet" the case win rapidly run to
fatal termination The fact IF, the vomiting and purg
iue are not only "r from being the most important or
dangerous symptoms 1T is not only true that 1.-THE
danger Of the case 10 by no means dependent on the
ouartity Of matter discharged from the stomach and
bowels" and that "in Of the worst cases this Is
not very considerable and In some Of the most success
full Il very great but 1t 10 our conviction that inc
vomiting and purgng are In their original nsen'ion'
genuine efforts Of nature to relieve the engorged YES
sels and restore the equilibrium of the circulation;
that they constitute natures ssfetyvve 70 the con-
eestion that their presence {. collapse, IL generally
favorable, and their sudden disappearance very IN
favorable sign. They almost invariably cease q short
time before death in the cold STAGE they frequently
yrs in notable degree at the beginning OF reaction
Mr. John Fyfs Of Newcastle, England, attended S7s
csses Of Choers and In all these. no says. collapse
never came on until after profuss serious discharges
from the bowels" Was not hatrre BY those discharges
struggling TO prevent the collapse lin the language Of
DR.. James johnson, Physician Extraordinary to the
King Of England, was she not making violent but
too often unsuccessful efforts to restore the broken
balance Of the circulation and to restablh tho secre