The Louisiana Democrat. [volume] (Alexandria, La.) 1845-1918, 1873-04-09
,sng on 5ich ~efs ,iot seen TIFF tiiey.

uniformity ofsisaicient Of the grave
symptoms to Justify one even inexpe-
rieneed WREN sAointed out to him 70
readily recognize the disease. The fac
|ulty5 Of. investigating disease ID by no
mems less necessary 10 . Physician
than.the knowledg &c Of treatment, when
dicsQYered. A 1
The disease is usually usheredin bya
chill, violent pain in head extending
down the neck and back, which in
many instances precedes the chill a
day or even two, followed by fever,
generally sick stomach, vomiting-the
matter varying in appearance, some-
times bilious, at others Of a blush tinge,
at times diarrhoea,aud again constipa-
ton: the,fever is usually not very high,
begins to- remit in from, six to twelve
hours, the pain in the head does not re-
nit with the fever, but increases, and
in the remission commences train Of
nervous symptoms, pain lin head be-
comes intense, extending down the
neck and back even to the limbs and
surface Of the body, accompanied with
great complaints; the neck becomes
stiff and drawn back; complete or par
tial loss of sight,, hearing and taste,
with delirium and an almost universal
desire to get out of bed; in the remis-
sion the pulse recedes to the natural
standard, at times below it, the body
never seems to have the heat that even
the pulse would indicate in the more
intlammatory eases. When reaction
takes place tits very slow-when itdoes
not the patient goes into a comatose
state and dies generally.
pEoGNosIs. ~
This is very unfavorable indeed-un-
der the most successful treatment re-
corded about 60 per cent. die. At times
recovery takes place with entire or par.
tial loss of mind, sight, hearing, or par
alisis, partial or entire.
aS' TREATMENT.
The antiphlogestic or depicting course
is for the most abandoned, and the
stimulating plan resorted to. Quinine
is the remedy most relied upon-opiates
are not favorably spoken Of by many,
but have to be resorted to at times, to.
relieve the delirium, so that the patient
can be controlled. Bromide of Potassa
aud that character Of medicines which
seem to control the reflex action of the
brain are used. A friend of mine tells
me he used Ergot to control the reflex
nervous system, with he thinks good
effect. As it is conceded this medicine
acts on the reflex nervous sysetm, l
hope, on further trial it may prove to
be beneficial. ~"
Believing, as a very large majority of
the Medical profession do, that this is a
malarious disease and thinking only that
the subtle poison is attracted to the
hind part of the brain and spinal mar
row by an electric affinity, and believ-
ing this poison must be neutralized, or
that the brain and spinal marrow, the
seat of theIdisease must be elevated to a
standard so as to enable it to resist the
poison, and not knowing remedy SO
efficient as Outline in relieving. malari-
Gus poison, l am forced to resort to it
and in quantities sufficient to produce
its desired effects. I know well how
difficult it is to impress morbid sys-
tenn, and what the difficulties are in
knowing when this is done. @
When your patient is deprived of his
senses, through which you are to de-
rive all information in relation to his
condition, it is.yery difficult to know to
what extent the system is affected. No
one but he who sits bya morbid patient
knows and feels the mighty weight up
on him; the apprehensions of the con-
sciencious Physician must become NOR
bidly aroused when he sees the doting
wife looking so anxiously upon the him
whose every expression is watched and
weighed; or the young husband upon
his idol, the parents upon their wor-
shipped. annealine in hea,.t-renflinu