New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1866-01-25
APPEARANCE on DISSECTION.
Helps and Hints Toward a PATHOLOGY
cal Definition.
ISecond Article.l
VARIATIONS IN THE SYMPTOMS

seasons localities and classes the disease may be easily
and certainly made ont being sharply defined and uni
FORM the symptoms, nevertheless, vary Infinitely
on the degree Of their intensity according to circum.
stances internal or external TO the Naturalization
shs simplest diarrhea with little pain and no cramps,
and no grayer arrangement OF the circulation and tenn
persture Of the surface than from the operation
Of ordinary purgatve up 10 the overwhelming at
tack Of prostration SO parayzng that the person
stricken has scarcely become sensible Of pain when the
ssoretions are suppressed and the hearts action sinks
suddenly
sometimes the prenonitory symptoms are protrscted
and the patient has week or more Of warning, In the
form Of diarrhes uneasiness and OF heat and
-thri" in the stomach and bowels IN cases, not
diarrhea but obstinate costireness prevails Sometimes
ne falls deed In his tracks," Ike the in the army
of the Marquis Of Hastings. At Belamy, in India,
SAILOR was attacked while at work, and died in his
working attitude, crosslsgged on his mat and mer
shant. concluding a bargain, vomited twice and in
siantly expired At Mecca individuals in perfect
health suddenly stricken to the earth yonited
tarned cold, and died. Between these two extremes
Che meroul admonitons Of various duration, from
few hours to few days; in the large majority of
cases the disease takes from six to twenty hours to
fully develop ITSELF and terminates by death conva
lescence In from to two days from the inception Of
collapse.
Sometimes the patient Sinks at once after dischargiDg
smsn quantity Of coloress fluid by vomiting and STOOL
sometimes the vomiting and purgiDg are preceded by
the spasms Sometimes the matter vomited instead Of
being coorless or wheyike or like seething of oat
meal green and the objections instead of being thin
and whitish and muddy, are red and blosDy or they
may even consist Of grcensh pulp like hslfdiges:ed
vegetables,
. We have described the cramps as usually beginning
In the extremes and thence creeping gradually to the
trunk but in some they simultaneously 10 ALI
and sometimes the order Of succession reversed the
abdomen being first effected. and then the hands and
feet Generally neither the vomiting nor the purging
are symptoms OF long continuance; either they are
checked BY art or the eneebled body Is no longer able
soperorm those violent motionsso that they together
with the cramps usually disappear some time before
death. After the first emptyings Of the bowels the
stools have been observed 10 be yelowlsh turbd. or
fothy like yeast and though generally inodorous they
sometimes emit rank fieshy smell. The objections
are seldom attended with much gripping, and sometimes
they are effected without effort or uneasines though
generally the calls are sudden and irresistible and the
discharges expelled with alarming force. Tenderness
OF the belly on pressure s not among tho most COM
mon symptoms nor, we repeat are the vomiting aud
purging by any means the most important or danger
sus, in great number OF fatal cases they have not
been profuse and have ceased without remedies
sarly in the attack.
The cramps sometimes precede the vomiting and
purging but in the low and most dangerous form OF
solera spasm is often absent Is present in very
slight degree TctsDic spasms OF the legs thighs ana
lo,ps have been observed. but there Is no general
.e,.nu, 1ock.iav), or even trismus. Hiecough In
Cholefa is not indicative Of DANGER OF the contrary
vhen II occurs in the interval Of struggle between death
and reaction It Ia favorable sign, and generally an
uoauces the return Of circulation. The spssm at the
nil Of the stomach is often very acute and the belly Ia
almost always drawn toward the spine by remarkable
,ermsuent contraction of the abdominal muscles.
The pulse occasionally though rarely keeps up toer'
ably for several hous after the disease has plainly de-
clsred itself Generally 1t becomes small and acceier'
ased at an early stage and the accession Of spasn or
vomiting suddenly disappears from the e1trtmisies.
On the cessation OF the vomiting or spssu and some
times, apparently from the exhibition Of remedies the
puise win return 10 the e1tremitics for short time
and then again BE- lost In the less severe cases II
not wholly extinguished though much reduced In vol
ume and thread Of pulse, however small s almost
always felt at the wrist where recovery from the blue
cold stage is to DO expected. The linking OF the
pulse in Cholera Is symptom not less CHARACTERISTIC
ahsn the csdsverous oountenance, or the hoarse plain
svc whisper (eOr ohOlsiea the discocred skin OF
the chilled bnah, when 1t can DO felt it is GENERALLY
regular and extremely feeble. sometimes soft not very
quick, usually ranging from 50 toloo'
In the state Of the skin. In the other symptons Of
Cholera striking variations are found. The surface
sometimes observed to be dry, though codi and in
few. rare cases. natural-"nay. Of preternaturs
A ri n ~ M a.uvo has cdly
observed to take place Just before deaths but the de
veopment Of heat under such circumstances appear
he confined 10 the trunk and head and in almost al
eases may be regarded as q fatal symptom. II Is no
Indicative Of any restoration Of the diassd energy
fhe arteral SYSTEM Of any improvement In the func
,,on of respration. The heat In such instances, hal
eontinued well marked for some hours after death. Th.
ain IN complete collapse Is generally inssnsble ever
q, the action Of chemical agents and hence the usus
yescatories fail to blister The application Of minera
acids or Of boiling water In this condition OF the skin
aroduces little or no effect, and now and then paten
ia found who Is nsensble TO the operstoni nor car
ssccbss draw blood from an carry period OF the attack
The brsae,s so Characteristic Of Cholera in the East
Aas by no means been found an iDysriabe' OF even
very common phenomenon 10 England or the oni'e'
Kta,s, Dr. White one Of the physicians to tho Gates
bead Dispenssry and Cholera Hospital states that
scarcely one case In ten in his practice did the dscoi
Grafton assume that FORM but there is OMEN aesp
brownish hoe of the face and hands This biuenesS
brownness can often DO temporarily dssipcted oy ener
sotic friction Absence Of the peculiar "ooid sweat
ID rare. aud. We believe, decidedly unfa'oran
xign.
The urine. frOu beving been Dmpid AID Tree VIII be