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
Again, the eclectic physicians, who now, including all of the reform
school, constitute a majority of the practitioners of medicine in
this country, adopted a principle essentially similar, which has
governed their practice in the treatment of this disease from its
first appearance in 1832. Their system seems to have been more
strictly conformed to the pathology of the cholera than that of any
other school. Hence, their unparalleled success furnishes the most
substantial and conclusive evidence, sustaining the correctness of
the doctrine we have adduced, and the general principle of rational
practice suggested and imperatively demanded by the pathology of
the disease. Their treatment, directed mainly to the relief of the
essential symptoms, has been based on a prompt and diffusive stimulant,
which, fulfilling to some extent the indications required, has enabled
them to meet the disease on each occasion of its reappearance with some
assurance of success, and more generally to arrest its progress or
subdue its power as exhibited in its several stages, and even in many
instances to restore the patient and save life in the last stage of the
almost hopeless collapse. This is clearly shown in the actual results
which fully exhibit the incomparable fact that in private practice
considerably more than nine-tenths of the cases of "true cholera"
are cured, and the constitution and health of their patients saved
unimpaired.
Again, this doctrine is substantially confirmed by the results of
the experiments made by Drs. Hill and Davies, in the exhibition of
chloroform, either alone or combined with other stimulants. In the
carefully detailed account of its exhibition in the various stages of
the disease, it is clearly shown that its direct action tends to arrest
and suspend the depressing influence of the primary cause, and when
properly combined with other stimulants, affords very prompt relief.
The favorable results thus obtained encourage the hope that it may
prove a successful remedy and lead to the adoption of a more consistent
mode of practice in the treatment of epidemic cholera. In India, in
Europe, and in America, it is now regarded as a very important remedy,
and especially indicated in this disease. As an antidote to miasmatic
poison, and as a prompt and diffusive stimulant when properly combined,
it is admirably calculated to meet and suspend the most urgent
symptoms. In short, it may be considered, in relation to this disease,
an excellent therapeutic agent, and well calculated to form the base
of the principle for which we contend.
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