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
M.--S.--From dram j. to ounce ss. every half-hour, hour or two hours,
according to the urgency of the symptoms and the stage of the disease.
As soon as relief is obtained, it should be given in minimum doses and
less frequently. This is admirably adapted to the cold stage, and will
give prompt relief in a great majority of cases.
In the premonitory stage, it can be administered to good advantage
in small and less frequent doses. In some instances, an additional
astringent may be necessary. The deceptive and painless diarrhoea
should receive prompt attention, and be regarded and treated as the
incipient form of the disease. According to the best authorities, the
diarrhoea commences with the first chemical change or alteration of
the blood, and proceeds gradually, in most cases, for some hours, and
even in some instances, though rarely, for days. It is not sufficient
to check the diarrhoea merely; the cause must be removed, which is
essentially of miasmatic origin. When the cholera is prevailing, and
the diarrhoea is essentially choleraic, or the result of a depressing
miasmatic influence, it should be treated with chloroform, aided, if
required, by appropriate astringents.
In the fully developed stage, and even in the stage of collapse,
perhaps no combination is better adapted to meet promptly all the
necessities and wants of the system, and suspend the action of the
cholera-poison, than the one named above. It is a simple, prompt and
diffusive stimulant, approximating the principle indicated. This
peculiar remedy is essentially required, and should be continued
through all the stages of the disease till relief be obtained, varying
its administration according to the urgency of the symptoms. When the
stomach is too irritable to retain medicine, it should be given by
the bowel. Take of the above mixture, one-half ounce, of the tincture
of prickly-ash berries one-half ounce, of the tincture of opium ten
drops, of warm water one ounce and a half--mix and inject. This may
be repeated after every evacuation three or four times, unless relief
be obtained earlier. Thus, it should be administered perseveringly by
stomach and by bowel, aided by due employment of all necessary external
means for furnishing warmth and giving relief. Opium, however, should
be omitted after two or three injections. Its continued use to check
the movement of the bowels is decidedly injurious.
The vomiting and irritability of the stomach may often be allayed by a
strong decoction of spearmint and horse-peppermint (monarda punctata),
equal parts, alternated with camphor water in small repeated doses
every five minutes. This will often succeed when all other means fail.
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