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
After speaking of the various expedients resorted to for the cure of
cholera, says Dr. Watson: "I believe that each, in some cases, did
good, or _seemed_ to do so; but I cannot doubt that some of them did
sometimes do harm. I had not more than six severe cases under my
own charge, and I congratulated myself that the mortality among them
was not greater than the average mortality. Three died, and three,
I will not say were cured, but recovered, * * * under large and
repeated doses of calomel. Yet, as I said before, I do not venture
to affirm that the calomel cured them." It seems that Dr. Latham
commenced the treatment and Dr. Watson followed it up, repeating the
half-drachm doses of calomel many times, as the patients seemed to
rally after its administration. Again, he observes: "It was remarked
of those who recovered, that some got well rapidly and at once, while
others fell into a state of continued fever, which frequently proved
fatal, some time after the violent and peculiar symptoms ceased.
Some, after the vomiting and purging and cramps had departed, died
comatose--_over-drugged_--sometimes, it is to be feared, by opium. The
rude discipline to which they were subjected might account for some
of the cases of fever." * * * "Never, certainly, was the artillery
of medicine more vigorously plied, never were her troops, regular and
volunteer, more meritoriously active. To many patients, no doubt, this
busy interference made all the difference between life and death. But
if the balance could be fairly struck and the exact truth ascertained,
I question whether we should find that the aggregate mortality from
cholera in this country was any way disturbed by our craft."
In a report by the acting physician to the Bellevue Hospital, made to
then "Special Medical Council," August 2d, 1832, while the Epidemic
Cholera was still prevailing there and in the city, the physician
says: "The treatment I have divided into two kinds--the pathological
and the mixed. The first having been determined on, after the careful
examination of twenty-three persons dead of cholera; since then, ten
more have been examined, which serve to confirm the conclusions first
formed.
PATHOLOGICAL TREATMENT--_First Stage._--This consisted in the
administration of blue pill and opium with absolute diet. If pain was
present, leeches to the epigastrium and arms, and when these could not
be procured, cups to the epigastrium. This plan never failed to arrest
the disease in the hands of those who diligently pursued it, where
the mucous membrane of the gastrointestinal canal was not previously
diseased.
_Second Stage._--First, Blood-letting; second, diligent frictions
with the ointment alluded to above, when persons could be procured to
perform the duty; third, ice to allay the thirst; fourth, small doses
of brandy and laudanum, if the vomiting continues; fifth, cups to the
epigastrium, if there was pain and the brandy omitted.
Public-domain text, read in full here on John Shaqi.
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