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
"Another heroic plan," says Dr. Aiken, "peculiar, perhaps, to this
country, which was practiced when the inefficiency of medicines was
generally admitted, was an injection of a solution of half an ounce of
muriate of soda, and four scruples of sesquicarbonate of soda in ten
pints of water, of a temperature varying from 105 to 120 Fah., into the
veins of the suffering patient. The solution was injected slowly; half
an hour being spent in the gradual introduction of the ten pints, and
the immediate effects of this treatment were very striking. The good
effects were rapid in proportion to the heat of the solution, but a
higher temperature than what is stated could not be borne. After the
introduction of a few ounces, the pulse, which had ceased to be felt
at the wrist, became perceptible, and the heat of the body returned.
By the time three or four pints had been injected the pulse was good,
the cramps had ceased, the body, that could not be heated, had become
warm, and instead of cold exudation on the surface, there was a
general moisture; the voice, before hoarse and almost extinct, was now
natural, the hollowness of the eye, the shrunken state of the features,
the leaden hue of the face and body had disappeared, the expression
had become animated, the mind cheerful, the restlessness and uneasy
feelings had vanished, the vertigo and noises of the ear, the sense
of oppression at the precordia had given way to comfortable feelings;
the thirst, however urgent before the operation, was assuaged, and the
secretion of urine restored, though by no means constantly so. But
these promising appearances were not lasting; the vomiting continued,
the evacuations became more profuse, and the patient soon relapsed into
his former state, from which he might again be aroused by a repetition
of the injections; but the amendment was transient, and the fatal
period not long deferred. Of 156 patients thus treated at Drummond
Street Hospital, Edinburgh, under the direction of Dr. Macintosh, only
25 recovered; a lamentably small proportion; and, small as it is, it
seems doubtful if the recoveries were final or complete."
* * * * *
But let us turn to another page, whose beauty is especially marred by
unreasonable expedients: "The warm bath," says the writer, "was at
first tried, but discontinued from the uncontrollable nature of the
vomiting and purging, and the oppressive sensation of heat it produced
on the patient's feelings. Mr. Dalton's vapor bath and Turkish baths in
the Hospital at Scutari have been used, but without benefit, and to the
disappointment of the hopes which had been entertained of them."
Public-domain text, read in full here on John Shaqi.
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