Memphis daily appeal. [volume] (Memphis, Tenn.) 1847-1886, 1866-02-01

Ilaritv in several children; when undis
turbed they lay in a dull, sleepy, sem
comatose state, breathing with perfeC
fcalmness: when reused, they though
only Of relieving their distressing 5ensa
tions, and called vOciferOusly for col
water. But he does not say that he f0un
f. them irrational or incOherent, or ths
] their condition was other than that whicl
/ should attend upon congestion Of the yes
4 sells of the brain.
The stage Of Fever.
! A patient, having once fairly enteret
/ the stage of collapse, is rarely restored 4
health without passing through a feye
closely resembling the typhus mitior o
Great Britain. The system, under tin
influence OF the peculiar and mysteriou
poison by means OF which the Asiati,
Cholera does its work, has been SUM
into the lowest state Of human exist
eHce. Those vessels that had ceased e
pulsate, and all those muscular tibrils
that lad been for days convuised, con-
tracted, and, as it We're, RnCtted and
twisted ia spasm, cannot at once resume
their healthy action. The Uie UlCdicu-
trir nature, in resuming its efforts, seems
over eager for the restoration Of the func-
tions, and consequently sets up an eX-
aggerated and dangerous action in every
artery. After the "bluen cold period
has lasted from twelve TO twenty -four,
seldom 10 forty-eight hours, the vital
powers begin to rally, the circulation and
animal heat TO be restored, the cramps
10 relax, and the vomiting and purging
10 diminish, Ii they have not already
ceased. The warmth returns gradually,
the pulse rises in strength and fullness,
and then becomes sharp, and sometimes
hard. The patient now complains Of
headache, with ringing in the ears. The
tongue becomes more loaded, redder at
the tip and edges, and dryer; thirst con-
tinues. but there is less nausea. High
colOred urine is passed with pain, and in
small quantities. The pupil is generally
dilated, and soreness is felt on pressure
over the liver, stomach and bowels. The
stools are no longer like water they first
become brown and thin-then dark, or
black, and pitchy; and for some days
the bowels continue to discharge i'm
mense loads of vitiated bile. A prOfuse
critical perspiration may appear, on the
second or third day, and leave the suf-
ferer COnvalesceut but more frequently
the quickness Of pulse and heat and dry
hess of skin are aggravated, the tongue
y 9
and sometimes hard, the eyes suffused
and drOwsy; there is a duh flush on the
face, with stupor and heaviness. Com
monty, at this time, there is low mutter-
ing delirium, or other marked affections
Of the brain dark sOrdes collect on the
lips and teeth, the patient IS pale, squalid
and low, catches his breath, is extremely
restless, and mO2ns "sOlemuly.n The
pulse becomes weak and tremulous, on
the skin rigOTs alternate with fiushes of
heat. Then comes a blessed insensibility,
and the patient soon sinks under the
effects of frequent pitchy
llvine discharges-death arriving on the
sixth, eighth or tenth day, or even later,
10 the very individual whom the most
lssiduOus attention had barely saved I'm
The cold stage. Constipation is not an
symptom in the febrile stage,
md the urine is often secreted abun-
iantly-in fact, dangerous retentiOns are
% be guarded against. 1t is probable
hat the duration Of the consecutive fever
s, IN the majority Of European eases, /
with the duration and
severity Of the collapse, and not materially
dependent on the kind Of remedies
mployed. But, sometimes, a very mild !
ase precedes a dangerous fever, espec- /
ally in Europe and sometimes after the 1
everest collapse there is no fever at all, |
specially in India. IN England the
fever has been regarded as /
more frequently fatal unless strictly
watched, then collapse itself; and in
'ases Of recovery from even mild forms
# fever, relapses, more or less alarming, |
AVE not been very uncommon there.
The points of difference between the |
phenomena Of the European and the /
indian forms Of the epidemic, were in /
stated by Drs. Russell and [
Barry, in a joint report 10 the British 4
i0vernment, dated "St. Petersburg, July I
wenty-seven, eighteen hundred and I
- and by DR.. Lawrie, ofSund- |
rland and Newcastle, in a cnmmunica- /
ion to the Nedic0- ChiTlTgicoi Reuietc, /
n eighteen hundred and thirty-twO. We /
elieve the same points Of difference will /
q observed in the Epidemic now advau- I
ing towards these shores
FIRST; "The pTemOnitOry stage occurs |
q much larger proportion of cases in I
he English than in the Indian disease. /
u the latter il is the exception, in the /
'rmer the general rule.n The writer Of !
be preseIS article can verify from per- /
oual observation 50 much Of this state I
aent as reaates to this phenomena Of |
holera In Malacca, Burmah and Hin |
Oostan.
Secondly "The evacuations, both up
Yards and dOWnwards, seem 10 have |
cen much more profuse and ungoverna- /
le In the Indian than in the European |
holera, though the characteristics Of the |
are precisely the same"
ThirdlU: "RestOratlou TO health from
he cold stage, without passing through 4
fever of any kind, is far 4
lore frequent I'm India than in Russia or 4
England, nor does the fever in India 4
ssume a typhoid type Recovery di- !
ectly from the cold stage, without the |
ever, is the rule In India; whereas, in /
lngland, or in the United States, we 1
elieve that few who once have fairly /
will escape the consecutive
ever
FourtlI,r "The proportion Of deaths
b the cold stage, compared with those
q th6 hot, IL far greater IN India than in
Western Europe"
Fyftblg ''The head is more frequently |
fected in the British than I'm the Indian 1
lrm Of cholera-as shown bv greater 4
rental oppression and insensibility 8 du-
ing collapse.
NTtMy: According 70 DrLaWrie, " the 4
isc0loratiOn OF the surface il neither so
'equent nor 20 extensive IN India as in
The blue II the COM
ION diso0loTation in India, the brOUR
D Europe though in many cases, in
9th England and this country, there
as been a well marked pUjPlish
hRnge.
When we come 10 consider the Pathol-
gy OF Cholera, the readers mind viii
svert TO some Of these variations and
henomena, as confirming our views Of
be nature and process Of the morbid
aauges, and Of the treatment scientih-
ally and logically treated
HeS0VeEsr -
When the more formidable symptoms
T collapse have set in with severity, the