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
Again: "Out of 9 cases of cholera, and 13 of the worst cases of
diarrhoea occurring in my own practice, and treated with chloroform,
_one died_. All these were in the better ranks of life. In some of
them, the warm bath (salt water) was used as an auxiliary, and the
diet consisted of nothing but cold milk and water, with some carbonate
of soda, _ad libitum_. The fatal case was that of a drunkard, who,
probably, did not take the remedy. These cases varied in severity,
from sickness and diarrhoea, and mild collapse, to sickness,
diarrhoea, severe cramps, and great collapse, with almost clear watery
evacuations, passing away involuntarily * * * Of 14 cases of cholera
treated by Mr. Towers, Medical Resident of the Infirmary, many of
them under my own observation, _one died_. The fatal case was that
of a woman aged 63, who was previously suffering great depression,
consequent on extreme destitution."
Again, says Dr. Davies, "It will probably be remembered that, in my
second report, I expressed a very favorable opinion of chloroform in
this deadly malady. I considered I had strong grounds for so doing,
after observing the large proportion of cases which recovered under
its administration. From the history of this last visitation in the
county prison, however, the fact turns out, that, under some uncertain
circumstances, the use of chloroform will not prevent the proportion of
deaths being considerable. I have reason to believe that it was, from
over-anxiety, given in too frequent doses in some cases, and that it
thus rather added to the coma, which is one of the characteristics of
the malady.
At the commencement of the outbreak, the doses were repeated every
hour, or every two hours, and it is to be noted that the first seven
cases _recovered_.
As the cases multiplied, the remedy was given every half hour, and, in
some instances, every quarter of an hour; the result was that the next
six cases died. Whether these cases had anything in them inherently
more fatal, it is difficult to tell. The symptoms at first were about
equal, and the differences did not show themselves until towards the
end. There was next a recovery of seven cases in succession; in these
the remedy was administered less frequently, but subsequently two
deaths occurred under the less frequent administration.
The chloroform was administered also by inhalation, in some of the
more severe cases of cramps, with the effect of affording relief in
every instance. The inhalation was not carried so far as to produce
insensibility. Although I am still of the opinion that chloroform
properly regulated is the remedy of all others hitherto tried to be
depended on, yet it cannot be considered a specific for cholera."
Public-domain text, read in full here on John Shaqi.
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