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
What, then, is the principle which, for nearly half a century, has
been strangely overlooked, and utterly disregarded by the so-called
regular profession, so far as the maxims of rational practice are
concerned in the treatment of this disease? We unhesitatingly affirm
the principle suggested by the pathology of the disease is, and
must be, one that will reproduce and resupply the lost caloric, or
restore warmth to the body; one that will restore promptly the lost
nerve-power to the ganglionic nerves especially; one that will arrest
and remove the tendency to congestion, equalize the circulation and
relieve the oppressed respiration, and thus mitigate the long train of
dependent symptoms. For this purpose, a prompt and diffusive stimulant
is required of sufficient power to meet these urgent demands, and
suspend promptly any further depressing influence or action of the
cholera poison. A stimulant, essentially different from alcohol in any
of its forms, is required. Alcohol, except so far as it necessarily
enters into the composition of medicines, is inadmissible. So, too,
are all those stimulants whose action is violent, or tends to induce
constitutional derangement, or impairs in any way the subsequent
health of the patient. It must be one prompt, kind and diffusive in
its nature, and peculiarly adapted to meet and relieve the essential
urgent symptoms on which the whole train of _non-essential symptoms_
depend. In short, it must be one possessing the singular properties of
a stimulant, sedative and astringent, especially an arterial stimulant
and antispasmodic.
In confirmation of this doctrine, we may refer to the general principle
exhibited in the most successful modes of practice. During the
prevalence of the cholera in 1832, the physician having charge of the
Tenth Ward in this city, in which more than a thousand cases occurred,
adopted as the principle of general practice in that ward a prompt and
diffusive stimulant, which was, at that early day, regarded by him as
based on the pathology of the disease. This principle was strictly
observed and fully carried out in practice by all his assistants.
The result, embracing the different stages of the disease, and some
of the most malignant cases, was the curing and saving of more than
nine-tenths of those attacked.
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