Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.Wilson, John (Inspector of Naval Hospitals)
History
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.
Wilson, John (Inspector of Naval Hospitals)
Cholera
Occasionally, but chiefly when the patient represented the vomited fluid
as being sour, a solution of carbonate of soda in water was substituted
for plain water, as a portion of drink. Sinapisms were sometimes
applied; aromatics were now and then, though seldom, prescribed; and in
two cases, where with moderately firm pulse, spasms were universal and
excessively severe, blood was taken from the arm. Pans with hot water
were often applied to various parts of the body, but could seldom be long
borne, or kept in place, from spasms or other causes of restlessness in
the patient.
One remarkable and gratifying effect of the turpentine draughts consisted
in what may be called their acceptability to the stomach. While aromatic
and cordial mixtures were instantly rejected, they were generally
retained for considerable periods. The turpentine injection had similar
effects on the intestines, allaying irritation and checking discharges.
With few exceptions they arrested the flux for a time, in most instances
for a considerable time. So powerful, in fact, was their restraining
power, that they did not require to be often repeated. Their controlling
influence was unquestionably great.
Many years ago, while serving in the West Indies, and often looking
anxiously but in vain, for the constitutional effects of mercury in the
precipitous fever of that region, the writer was led to inquire whether
some accessory agent might not be found to accelerate and determine the
action of the mineral; and turpentine, from its penetrating properties,
rapidly entering the circulation, exciting the capillaries, and
stimulating the kidnies, presented itself as probably possessing the
desired qualities. It was tried, and did not altogether disappoint
expectation. It was thought afterwards that it did not only precipitate
mercurial action, but increased its remedial power. A paper on the
subject was printed in the “London Medical and Physical Journal,”
especially in reference to the treatment of neuralgic affections, in
1830.
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