Asiatic Cholera: A treatise on its origin, pathology, treatment, and cureWhitney, Elijah
History
Asiatic Cholera: A treatise on its origin, pathology, treatment, and cure
Whitney, Elijah
Cholera
"The inorganic constituents," continues the same author, "if compared
to the water, are during the first four hours increased, because at
this time the water is passing off with great rapidity; afterwards, as
the salts pass off, the disproportion is lessened, and after eighteen
hours or so, the proportion of salts is greatly diminished, and, if
compared with the organic constituents, the diminution is enormous.
With respect to the individual salts, there is in the blood a relative
preponderance of phosphates over chlorides, and of potash salts over
soda salts. By the end of eighteen hours or so, the blood-corpuscles
are left in a most abnormal condition; the great loss of water and
of salts, especially of the chloride of potassium--a most important
constituent of the blood-cells--at once leads to the conclusion that
their functions must have been greatly impaired. Accordingly, Dr.
Schmidt found that the amount of oxygen contained in them was lessened
by one-half." Dr. Robertson affirms that the "fibrin of the blood is
usually in large amount and coagulable with great firmness;" while
Dr. Parkes, speaking of the same condition of the blood, and relying
on the accuracy of his analysis, observes, "The presence of fibrin
in the blood was not indicated by any coagulation either in or out
of the body; and whether coagulated or not, the blood has usually a
dark color; but it generally acquired an arterial tint when brought
into contact with the air in thin layers." * * * "When we remember
the great share taken by the blood-globules in the respiratory and
heat-furnishing processes, it is scarcely possible to avoid concluding
that their loss of salts is connected with the characteristic cyanosis
and lowered temperature in cholera." "The diarrhoea coincides with
the first chemical changes in the blood--the transudation of some of
the constituents of the serum." Hence the phenomena of the disease
may thus be traced from this process as the starting-point. All other
chemical changes in the blood, and the most marked symptoms, such as
the abnormal respiratory process, follow as a matter of course. Such
is the theory of the nature of cholera, now advanced and sustained by
the most eminent pathologists, which embraces the doctrine previously
advanced that the blood is the primary seat of the disease, and becomes
contaminated by the absorption of a specific poison.
SECTION II.--PHENOMENA, OR SYMPTOMS.
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