St. Landry democrat. (Opelousas, La.) 1878-1894, 1885-09-26
Treatment Of Cholera.

DR.. Mankan G.. Dadiraian, of New
York, formerly of C0nstantinOple,
Turkey, gives the following in the
Medical Record:
That most estimable gentleman, DR..
Cyrus Hamlin who spent forty years in
Constantinople, and who had wide
and interesting experience in different
epidemics, says in his book "If you
prepare for it (cholera) it will not
come. / think there is no disease
which may be avoided with SO much
certainty. But providential circum-
stances, or the thoughtless, indiscre-
tions Of some member of a household,
may invite the attack, and the chal-
lenge will never be refused. The
greatest danger lies in the contact with
choleraic discharges. This danger is
greater than that Of contact with the
patient himself. To avoid this danger
the stools should be thoroughly disln-
| fected, and the closets where they are
emptied should receive thorough
charge of the disinfecting agent. The
disinfectants that are always kept IN
| the houses of Europeans residing In
| Alexandria are as follows: First, two
parts of carbolic acid and one hundred
parts of water, second, twenty parts or
ferrous sulphate and one hundred parts
of water third, one part of chloride OF
| lime and eight parts of water. Either
one of these may be mixed with the
dejecta in the proportion of one to ten,
and greatly diluted with water for uri-
nails and closets.
The treatment of cholera. Without
entering into the pathology and symp-
| tomatolOgy of the disease herewith is
given the most simple and practical
method of treatment, which has yielded
good results in COnstantinOple and
Asia Minor. There are four stages OF
cholera, requiring each more or less
| different treatment: (a) Choleraic diar-
Thea (b) true cholera, with rice water
discharges /; (c) collapse (d) reaction.
(a) Choleraic diarrhea. This is the
most important stage to be taken into
consideration. At the first appearance
of this symptom, treatment should De
begun. Many are careless about the
matter and forfeit their lives in cOnse-
quence, for this is the time when treat
ment is most efficacious. Sometimes
this stage lasts one or two days again
only two or three hours, and then the
succeeding stages follow with fearful
| rapidity. The patient must remain at
home, stop his regular eating and
drinking, and take as follows
r. ChlOroform,
Isaudanum. --..-....--.. aa drachm j
Brandy .--ozS II JsS
NJ. Sig.-Onc tablespoonful every two OF
| three no urs in water.
One dose will often stop the diarrhga,
| but it is safer to continue the remedy
in half doses until the next day. This
is the method mostly used in the En-
glish army in India In Turkey, how
ever, another mixture is generally
used-knOWn as "Dr. Aamlin's,n as this
s,1Eu INIT
great success. 1t consists of equal
parts of laudannm, spirits Of camphor,
and tincture of rhubarb. Thirty drops
of this mixture may be given i'll little
water or on lump Ofsugar. The dlar,
rhea is generally checked, and great
relief is also given to the vomiting and
: cOlicky pains which are often present
The dosage may be doubled if neces.
sary. This remedy also should be
continued for day or two in gradu'
ally diminishing dosage. The die
: should be rice, soup, toasted bread, anC
fermented milk (matzoOnl.
(b) True cholera. Here we fine
cramps, colicky pains, vomiting anC
diOrrhOea. The stools may succeed
each other at intervals of from ten min
utes to several hours. In India calome
, is used in hourly doses OF ten grains
: Jill bHO SGOOiS pLCSCuU tL1OlL AOA LASA w
or and odor. This remedy is not muct
used in Constantinople, where CDR
Hamlin's No 2 Mixture" as it is called
. has worked charmingly. 1t consists O.
equal parts OF laudanum, tineture o.
capsicum, tinctute of ginger, and tine
ture of cardamon seeds. Dose thirty tt
forty drops in a little water, given aftel
each movement. After the third doe
both the diarrhea and vomiting arr
usually stopped. In this stage sinap
isms must be applied to the stomach
abdomen, calves, and feet. Diet; rice
water, crust waters, chamomile tea.
(c) Collapse. Here spirits are ou
only sheet anchor. Brandy or whisky
may be given every half hour in table
spoonful doses. Sinapisms, hot bottles
etc., are useful. The condition is ont
of the greatest gravity, but by nj
means hopeless. Many are pulled
through.
[d) Reaction. As soon as the patlen
rallies, the treatment must be carried
on entirely on general principles. Ate
reaction has fairly set in, great car
must be taken to prevent a relapse o
a typhoid condition, which may prov
fatal.