New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1866-01-27
While There's Life There's Hope
R e A G Il L o N
Children Much xess Liable TO
Cholera than Adults.
Third Article.l
PATHOLOGICAL CONCLUSIONS.

Third Articlel
PATHOLOGICAL CONCLUSIONS.
In 1881, DR.. James johnson, whose clear
sighted deductions have thrown so much informing
light on the nature OF Epidemic Cholera, and who was
at that time editor of The MsdieO Chrnrge0! Rerfer
and Physician Extraordinary to the King OF England
submitted to the Westminster Medical Society series
of propositions embodying his views Of the pathology
Of the diseaseyiews that have never since been con
travened and to th, convincing completeness OF which
no later observations have materially added. we ex
tract the essence Of those propositions:
IL That in epidemic cholera as In most other cpl
denies a poison orr ssddire principle whether ema.
natng from the EARTH from animal or vegetable mater
on the earth, engendered in the air. strikes preds
posed individual and, after an uncertain period OF IN
cubation. produces train OF phenomena, forming tne
subject of subsequent propositions In sporadic cnoeis
(that is common cholera morbus) the general or df
siye cause is absent; but when the common exciting
causes strong and the subject highly predsposed
severe or fatal cases will occur even IN tada ess
tingIshed from those OF the malignant epldemic
cholera"
THAT "Asatic" Cholera arises from atmospheric
distemperature and is dused through. and conveyed
BY the air is evident from the fact that its appearance
in any place is usually preceded by cases of cholera
morbus and the general prevalence Of disordered d.
gestion and when the disease does appear as an ep-
demic scarcely a siBg IN iyidua in the same locality
escapes having some disorder Of the stomach and
bowels. Almost every one complains OF diarrhea'
Moreover this atmospheric distemperature Is often SO
powerful as to affect animals. In January. 1897. In
Calcutta cattle and elephants. experienced the
epidemic influence to such degree that they died ID
great numbers Everywhere in India, cattle and dogs
have died of Cholera goats and oames in Persia, mon
%,,~ko IN and
in Prussia multitudes OF fsh. Within week after the
outbreak Of ths pestisnee at Constantinople in July
last the birds Of oil kinds from the sparrow and swa
low to the sea.gun aid kite, absolutely disappeared
from the capital and by heir r,turn, early in Septem
ber announced with re nmaing certainty the restored
salubrity of tho atmos here 1t also said that the
gliding on she caiques IN the Golden Horn and the
Bosphorus furnished especially In those localities
where the Cholera had ragged most severely
"II This poison manifests Its effects according to
the evidence of senses first on the ne9ous system
as eyneed by the prosraton q strength by the arrest
OF the secretions-depenfent on nervous energy-and
i'm fact by depression of the whole OF the sensoral
functions, as well as those OF organic iie"
ISynptoms curiousy resembling those Of Cholera are
frequently observed 10 attend that sudden prosration
Of nervous energy TIT shocking humiliation Of tone,
which follows upon r0tracted debauch, especially in
subjects Of highly nervous temperausnt-that extreme
depression into which persons so constituted usually
sink from extreme ercitemeDt-that painful nervous
bsckspringng and unbslancing from excessive physi'
cal or mental stimulation. In such cases there are
oen extreme weakness sudden diarrhea cold sweats,
,hiyerings sinking Of the pulse. blue dscoloraton Of
,he nails and lips and around the eyes eIcruciating
cramps creeping from the extremitits TO the trunk dis
orton Of the fingers, tingng aud thrills In the muscles
Of the feet and hands sensation as the balls Of the
fingers were applied to cold metal buttons agitsting
anxiety about the region Of the leart tones and ges
tures Of imploring hepessress. suddenly altered coun
an expression Of wandering apprehension, and
evep the hoarsely whispering voice. In like manner
the influence Of extreme prolonged fear upon the ner
vous sysem often maniess itself In phenomena strik
;nslv resembling what are called the premoaitory symp
toms Of Ctolera-I
"uI The seeondary effects Of the oholeraic poison
| ara shown In tho vascular system. Ibe heart acts
Seby the circulation recedes nom the surface, and the
HOOD accumuates In the vessels Of the internal organs
Sacarbopisiton and calorcstion cease or are greatly
diminished; the temperature OF the body falls 10 tnat o.
nrTonnding inanmate substauces palcness Is changed
70 buepess and the influence Of the gangionic system
Of nerves seems TO be nearly suspended II not annih
i lated.
| frbe reader has but to revert to what has already
been noted in relation to the postmorem appearances,
and the changes in the distribution quality and color
blood to appreciate the cearness Of this PROPOSE
ton and the accuracy Of It's statement The recession
Of REGULATION from the surface and the utter loss there
Of all that elasticity which depends upon nervous vital
ty or tone are evinced by the peculiar pudgines OF
aoughke quality Of the skin, when it Is pinched up be-
| tween the thumb and finger
nv 1t is at this period that nature appears to make
v;oent but too often unsuccessful efforts TO restore
the broken balance Of the circulation and to
the secretions. by sickness and purging tue electeo
| auids being srgdations, rather than secretions.
RI Ia in this view Of their intention and tendency
that the vomiting and purgns are to be regarded a
natural rallying exertionsl
| ~ We are not In our present state OF knowledge
.a,.ain whether the spasms are merely the enect o.
~ ison on the nervous system or an effort OF nature
20 resist IL; but they like the vomiting and purging
Tend ultimately Of not seconded) TO exhaust the Po~ei'
| Of life" =.
fTh. writer was led, BY bis observations In India e
hs conclusion that the spasms do constitute such ar
to resist the parsiy kins influence Of the ohoi
.raio poison. by restoring the continuity Of ths Cd
structed nervous current.l
1 CYL Rnaturs (by which mean the constitution
heher with or without aid be able 70 resss the mrs
Nv Ssuressiye shock Of the poison and institute re
sctiou In the system that reaction in great naort
~ nssss becomes a fever exhibiting new train 0
vtsrorse na and demanding different mode OF treat
msnt this Wow be correct IL would lead 70 the N
Sr, noe that the neutrality-suspicious. constitute the MS
~ oold state OF q oholersic fever
[or, more LOGICAL dsfai'sn-shat the tree sAolsrai