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
The treatment recommended in the American Practice of Medicine, by
Dr. W. Beach, which was fully tested by the author himself while in
discharge of his official duties as physician of the Tenth Ward, city
of New York, during the prevalence of cholera in 1832, is worthy of
consideration on account of its simplicity, its great efficiency and
wonderful success. "Among all the medicines," says the author, "ever
given or proposed in the incipient or premonitory stage, none will
be found so efficacious as our neutralizing mixture, made of genuine
materials and given very strong. Occasionally, it may be proper to add
fifteen or twenty drops of laudanum; this, however, is very seldom
necessary. A vast number of medicines are recommended in this stage
of cholera, but there are none, I am convinced, so efficacious as the
above."
In the second, or confirmed stage, the same medicine was continued in
larger and more frequent doses, with hot fomentations to the abdomen,
stimulating lotions, sinapisms and injections. The cholera drops were
also administered, composed according to the following formula:
Rx. Tincture of Capsicum,
Tincture of Opium,
Spirits of Camphor,
Essence of Peppermint.
Equal parts--mix.
Give a tea-spoonful every hour or half hour, according to the severity
of the symptoms.
In the third, or collapsed stage, he directed a tea-spoonful of
pulverized black pepper to be mixed and given in a tumblerful of hot
gin-sling; also, the same to be prepared and applied hot to the bowels
and extremities. Also, to two tea-spoonfuls of either pulverized red
or black pepper, pour on a sufficient quantity of hot water, let it
stand till nearly cold; strain and inject the whole up the bowel. This
would often arouse the patient in the collapsed stage when there was
little or no hope of recovery. Such are in brief the remedies which
were used so successfully in the Tenth Ward of this city, in 1832. Here
it will be noticed that the general principal evolved in this treatment
consists in its prompt and diffusive stimulant, its antispasmodic and
corrective power so combined as to act gently and kindly, yet promptly
and successfully, as the records show, to which we shall refer in the
sequel.
Another mode worthy of a passing notice is one analogous to this,
adopted and recommended by the eminent Dr. G. S. Hawthorne, of
Liverpool, England, who observes: "Of the medicinal remedies, the chief
is opium. This, I have explained, should be given in combination with
medicines of a cordial, stimulating and antispasmodic character, of
which the most efficient are camphor, capsicum, ether and aromatic
spirits of ammonia. The following formulæ present the combination of
the medicines which I would prefer:"
Rx. Powdered Opium, gr. xij.
Camphor, gr. xxx.
Capsicum, gr. ix.
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