Asiatic Cholera: A treatise on its origin, pathology, treatment, and cureWhitney, Elijah
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Asiatic Cholera: A treatise on its origin, pathology, treatment, and cure
Whitney, Elijah
Cholera
Divide into thirty pills, and give one after each discharge from
the bowels, or oftener, if the urgency of the case requires it.
Occasionally, however, there may be applied a large sinapism over the
whole abdomen with advantage. Greenhow's aromatized brandy,[II.] the
aromatic tincture of guaiacum,[III.] may sometimes be beneficially
alternated with this pill. Should there be an overloaded condition of
the alimentary canal, the fluid extract of rhubarb and potassa,[IV.]
three parts, with saturated tincture of prickly-ash berries, one
part, may be administered in table-spoonful doses every hour, and
continued until the bowels are properly evacuated, after which the
above astringents may be given; but where the diarrhoea is excessive,
it would be imprudent to wait for catharsis, as the discharge should be
checked as speedily as possible.
In the second stage, when nausea, vomiting, and cramps are present,
more active means should be pursued. To overcome the nausea or
vomiting, the preparation of Dr. O. E. Newton, termed in the American
Dispensatory compound mixture of camphor,[V.] may be used with
excellent effect; it is prepared as follows:
Rx. Camphor water, }
Peppermint water, } [=a][=a]., f ounce j.
Spearmint water, }
Paregoric, f dram ij.
Mix.
From a tea-spoonful to a table-spoonful may be given every five or ten
minutes; and in cases where this does not act sufficiently prompt, the
following may be administered:
Rx. Common salt, dram j.
Black pepper, dram j.
Vinegar, f dram v.
Hot water, f ounce iv.
Mix.
Of this a table-spoonful may be given every ten or twenty minutes, and
continued until the nausea ceases.
To remove the cramps, hot bricks, or bottles of hot water, etc., should
be kept applied to the feet, legs and arms, and cloths wet in water
as hot as can be borne, must be applied over the abdomen and changed
every few minutes; this should be perseveringly pursued until relief
is obtained. Sometimes advantage will ensue from stimulant applications
along the whole length of the spine. Cramps of the muscles of the limbs
may be overcome by bathing with the compound cajeput mixture,[VI.]
either alone or in combination with chloroform, and applying friction
at the same time. This course usually checks the further progress of
the disease, and the patient is saved; however, should it fail and
the stage of collapse come on, in addition to the above treatment
energetically pursued, the patient should be enveloped in blankets, wet
with water as hot as can be borne, which should be renewed every ten
or twenty minutes, and stimulants may likewise be given; the saturated
tincture of prickly-ash berries will here be found beneficial, both by
mouth and enema."
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