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
Hence Dr. Davies, under whose direction these cases occurred,
remarks, in view of this result, "that _no reliance_ could be placed
on chloroform alone." The correctness of this opinion cannot be
questioned, for the experiments we have cited all show the necessity
of a prompt and diffusive stimulant in aid of its action, to render it
sufficiently prompt and powerful to meet and overcome the disease in
the more rapid and severe cases. Chloroform, properly combined, offers
the best hope of relief, and is, without doubt, the most perfectly
adapted of any remedy known to the pathology and phenomena of the
disease. There is no remedy, when properly combined, so capable of
meeting all the indications required as this, and none that can be
administered with more certainty of success.
In conclusion, we may, with much propriety, refer again to the
pathology suggested by the authors cited above, and inquire whether
the action of chloroform as a remedy in these cases be consistent? and
whether as such it has that curative influence, or direct controlling
power, to arrest, suspend, and cure the disease, so imperiously
demanded? We have seen that, according to the opinion generally
prevailing, the first impression of the poison is made upon the
blood, and through it upon the nerves, especially those which, from
their anatomical position, bear the most intimate relation to the
blood-vessels. Through this channel the first invasion appears to be
made on the ganglionic, the nerves of circulation. These nerves are
distributed chiefly to the viscera and blood-vessels, and are at least
very early involved and essentially disturbed, for their healthful
action depends in no small degree on the aeration or oxydation of
the blood. Says an eminent author, "The action of every ganglionic
mechanism depends on the existence of certain physical conditions,
among which the most prominent and important is the due supply of
arterialized blood. If this be stopped but for a moment the nerve
mechanism loses its power, or, if diminished, the display of its
characteristic phenomena correspondingly declines." Hence the loss
of power in these nerves, and their deranged action, the contraction
of the capillary and pulmonary arteries, the impaired and impeded
circulation and all the phenomena arising therefrom.
Again, the great pneumogastric nerve, which is composed of both motor
and sensitive filaments, has a very extensive distribution in the
upper part of the abdominal cavity. It supplies the organs of voice
and respiration with motor and sensitive fibres, and the pharynx,
oesophagus, stomach and heart with motor influence. This very important
nerve, through the primary action and deteriorating process of the
cholera poison, becomes early involved, and its functions greatly, and,
in fatal cases, permanently deranged. The evidence of this disturbance
and loss of nerve-power is too obvious to be overlooked or disregarded
in the treatment of this disease.
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