The cholera spasmodica, as observed in Paris in 1832; comprising its symptoms, pathology, and treatment / [Ashbel Smith].

  • Smith, Ashbel, 1805-1886.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: The cholera spasmodica, as observed in Paris in 1832; comprising its symptoms, pathology, and treatment / [Ashbel Smith]. Source: Wellcome Collection.

    60/92 (page 54)
    * Me et ro 8 - 5A . a take in moderate quantities, light animal broths. He should carefully avoid any exposure, or any fatigue of mind or body. The great liability to a relapse renders these precautions very necessary. Even slight irregularity or excess in diet endangers a relapse. | - 7 § ‘+S % “ “ ° 6 , In some cases, as I have before mentioned, the powers is imperfectly developed; the surface is not completely warmed, especially the feet; the vomitings, though much abated in frequency and severity, occur from time to time, and generally consist of a bright green, or of bilious matter ; the cramps have not entirely disappeared; there is more or less mental torpor; the system seems struggling under a load too great for its energies. ‘This state of imperfect reac- tion is, in short, a continuation, in many of its symptoms, of the preceding cold stage, and it requires the same treatment, modified according to the urgency of the existing symptoms. In this state, particularly where there is much precordial a general salutary shock and excitation, frees the large ves- sels of the blood dammed up in them, and increases capillary and cutaneous action. After its operation the vomiting is diminished or entirely ceases. 'Tl'o sustain the good effects of the ipecacuanha, and to allay the vomiting where it still persists, we should employ something similar to the mixture ture No. Il. page 46. When a more stimulating one is thought necessary, we may substitute in its place No. I. of the same page. For tenderness of the epigastrium, which is a pretty frequent symptom in this state, we may ap- ply leeches or blisters. 'This tenderness of the epigastrium should not prevent us from employing the mild stimulating treatment demanded by the condition of the patient in other respects. As excitants, or as derivatives, when there is much