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
_Third Stage._--First, ice to allay the thirst, which is now, indeed,
unquenchable; second, external heat; third, a continuation of the
frictions; fourth, no opium, and, frequently, no brandy, especially
among the children.
MIXED TREATMENT--_First Stage._--Besides the above treatment, calomel
and Dover's powders was a very frequent prescription; also scruple
doses of calomel, and calomel and opium in small doses, and all with
success. Nevertheless, I believe they occasionally did harm.
_Second Stage._--First, blood-letting less frequent than above; second,
calomel and Dover's powders continued; third, calomel and opium;
fourth, calomel, capsicum and opium; fifth, soda powders; sixth,
scruple doses of calomel every half hour; seventh, ice.
_Third Stage._--Calomel and Dover's powder; calomel and opium; calomel,
capsicum and opium; carbonate of ammonia and capsicum; scruple doses
of calomel every half hour. External heat in various ways; ice, etc.
Severe shocks of electricity along the course of the muscles to allay
the cramps; also, the burning of alcohol on the skin. The first was the
practice of Dr. Devan, the second, that of Dr. Gardner, and both lay
claims to having been the first to use these means."
The ointment alluded to above is composed of mercurial ointment, one
pound, camphor finely pulverized, seven ounces, and the same quantity
of capsicum. With this, the patient was rubbed briskly from head to
foot and repeated at short intervals. The result was, that mercury
generally showed its specific effects upon the gums in from five to ten
hours from the commencement of reaction. The success of this external
application of mercury, conjoined with its internal administration and
frequent blood-letting, may be learned from the cholera statistics of
this and other institutions.
Dr. Pereira employed sixty-grain doses of calomel, it is said, with
success, and Dr. Barton of New Orleans, in 1849, gave in ten cases from
120 to 150 and even to 180 grains of calomel at a dose, and, in one
case, gave 220 grains, intending, it is said, to have weight sufficient
to keep it down. This brave and heroic practice did not afford relief
in a single instance; the cramps, and vomiting, and purging continued,
and a few hours closed the scene--all died.
Public-domain text, read in full here on John Shaqi.
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