1000000031

(h~

C liO L'E!\ A

! O~nU 5 .

o,.

VOM ITI ~ G

O ll.:i

LOO !: [ N r s s.

CHOL ERA,

vomitillg 2nd

Icorenefs, is a (ud–

elen \'iolent purging

upWélrtls

anJ dnwnwards, procl'ccJ–

ing from a

COI:~

ulfive l.ontratllon o f

lhe

ltolH:'\ch and in

teft ir:cs ,

c.l.uf

(.'d

by fhu p

c3uflic ",nUc:r of various kinds.

generally vegins in Augu(l . ;,tno rclcla m rcaches (he

firn

",cC'ks of

Scptcmuer.

unld:J

fpuno'us

kind

wlzich

;Hiles

from ( x ccfs.

di(covtrs

Ítfd f by

enormou!

vomiting. ano

a voiding

of vití3.lCd humours

(loo)

There is a. violent paln,

¡I\fl ation and dinention of {he belly and ¡ntcHines.

alfo

a cardialgia and lhirn; lhe puJre is q'ulck and frequent,

{mall and unequal; there are heat and anxie(y, a moll

troublefome naurea, fwcating. a cunlralbon of {he legs

aad arms, f;4imin1!, coldncrs of (he cX(rcme p.uts, and

Ihe hke. which kilJ the patieo. in twenty-four hnur5

':rhough this direare is gener.tlly

pre~:eded

Wil h aeid,

nidorous bclchings, pungeut :l nJ eótn.l ialgie ptlil1s in (he

(l omach and inteHi nes; yet foo o after. aJl ot

ít

Cudden,

ano

í\t

the ' (ame

inU.mt

, l he vomiling and loofenels

mOike Ihei r aU'ack. l -he rcmain5 of lhe lan meal are

voided fira ; arte ",ards bilious humours. mixed more o r

lefs with mucus; (hen tho(e lhat are yellow , lhen cTugi- –

DOUS,

(hen black, Orlen exceediog aeid, and almotl cor–

n d'i ve, together wit) frequcnt erutlations and wind, and

fometimes blood ¡treIL The returns of lhe c \'tlcuations

are n ry frequeot. B erides , there ar'e mon acute, wring.

ing, g. iping, gnawing. biting pajos, with infLuíon and

rumbling of the ¡nleHines, chielJy ahove lhe na"el, and

mofl racking cardia lgias . As (he:: diCea(e incretlres, the

thidl becomes great, lhe ext remc pans grow cold: lhue

is a palpitation of the hean, and lhen hiccups

lhe urine

{lop., and the body i. covered with a cold (weat.

common for lhe patient tO fwoon away, and to (all ¡nco

terrib le convulfioDS.

There is

di(ea(e, excep' ,he plague and pe{lilenti. l

fevCfs, lhat kills fooner than this, efpeclalJy if

auacks

old per(ons, or children. or fu ch as are weakencd \Vith

dife,lfes. The more cau(l ic {he

malter

is which is voided,

the more intenrt: .ue lhe tbirO and he:at, and lhe more

certain lhe danger. I f it be bJack bile, and miKcd wi th

bl.ck

!.)ood , de..h i. inevitable. T he CAfe is

ba¡t

",hen thereare fa intings, hiccups. coo\'ulfio05, coldnefs o(

the extreOJC pans, and coJd (weats . Nor is any thing

beltcr (u be cxped ed from a floppage of the e\'acualions,

""hile lhe rdi or lhe {ymptoms continue . BUl ir (he

vomlting ceafes, and lhe p¡;uient

(1~eps

(oon af,er, or lhe

dif"fe is protrJ(\cd beyond

(he

(event h day, he may re–

cover; if he begíns lO bre.k wind down ward, it is

good

Ílgn .

This Jift4fe

r~q uires

lhe morl rpecd y aRin ance,

~nd

thcrerore lhe phyGcian cannOI ue cdJleJ lOO {oon . The

jnJic~ lion,

of cu re :-trc, [. 'To eor rcét and (hC::3th lhe

fllt.,,6Ifi c mall er, and

fit

il fur e\'Acuation. 2 . T o tlp–

pcafe the irrecuLH fp'-"mod:c motions

1."0

flrenClhen

lhe ncrvo ...s pans which lhe J lfeafe has weakencu

Bor! a large cI .ickt:n in three RalJons or Wiu cr, that (o

Ihérc mity be (("" rce "ny I" He

(he- ft efh Ot od givc l he

pd.lIenl .. largo: q U'Intlt ) Ori l tO drink ; or, for

w .\O(

of ir,

VO L.

111. N°

71 .

TI7

Wl\rm pr'(!"Cl drink ; and.

,,1(0

rcr r:,t-:cI el) Cl ers o( lhe Colme

lrcp lOr ; oo\v

~nd

then

oun~e

f"y rup or vioJels may

be: .lridcJ

the drduglll or cJ yfl cr. Thc(c'

oper~tion~

!lIay br.: complc-' ted in thre!! or

fou ~

honrs, and lhen

paregoric will ero" n lhe " hole:

UUl

the phy(jcian is nal called in time, and lhe pa–

tient hAS been e xlldu ftt'd with

VOOliti.~g

and purging for

mOlny hours, and lhe e xtreme pares bcgin tO grow cold,

lhe" immedi:He reca ude mu(t be h<ld tO Jiq uid laudanum

in a la rge dale .

Ano

when lhe fyOl pl0019 ceaCt::, it is

to be re pe;tted morning and eveniog. tlll the pnient',

ílrength returns .

N ellher calhartics nor cmetics, properly fpeaking, are

of ure in chis dlfc.tre; but lhe vOl1llting may be promoted

by rtrinking a large qUilntity of \Varm W;tter mixed Wilh

fr~nl

bUlle r or oil; and the pll rging by oily tlnd emol–

I¡enl cJyHers _ O r lhe patien. may drink fmall chicken·

hroth_ Whey is of great ufe

quench lhe Ihirll; to

which may be added, lhe abforbeot and tef'hceous pow–

d ers .

lhe patient is not too much exhaufied, make him

drink plentirully of warm water fhree or four times. to

drlute and blunt the acrimony of the humouTs, and to

bring them up by vomit : Then he mu(J ..ke as freel}'

of a d ecoa :on of o:.t-

bre~d,

baked without Jeaven or

yea n, cart=rully loaHed, withollt bu rning, as browD as

coff~e;

which decotlion ought 10 be of the colour oC

we.k coffee. Thi. is gra,efu l

the {lomach, and is fel–

dom brought up agaio.

When the: pallem is much exhau(l-ed with evaclItllions

upwards and downwa rds. give him a large d raughl of {he

d ecotlioo ; anu, when th e naurea is pretty well rettlcd,

t \l,lO

t ~;rds

or a grain of opium, more or lefs, according tO

the Ore_ngth aod age of the patient.

But if the patient is con\'ulred. the extreme parts cold,

and the puJre weak and ;nterm¡lting, t wen ty·five drops

o f liquid laudaoum, in an ou nce of nrong cinnamon wa–

ter, is more"proper : and afrerwards a draught of aoy

wine in

3 D

equaJ quanti.y of the decotlion_ After this,

he may cake lhe decotlion

quench his thirft, and a

Jitde wine no\V and then as a cord ial.

To prt vem a relapfe, repeat lhe opiate. in a moderate

qu anlity for fume d.¡ys, morning and evening

antl care

muH be taken not ce overloOld Ihe Homach , or

l O

eal any

lh ing hU I what is of good nouri{bmem , cafy to digdl,

and grale rul to the n omach .

O/ Ihe

DVSE

NTE.RY

BL O O DV - FLUX.

D \"

S [ N TER Y

begins with rtlivering and (haking .

fu cceeded hy heat of the whole body

which are followc:d

by gri ping or Ihe guts , <lne! foon arter by frequent

\'oid~

ing of Olmy (lools . attenJ t.d Wll h violen ( ptlin, and a morl

troubldomc prel1ing down o r ft'l mlog d\. fct:nt of all rhe

bowt:1s. ;tOU lhis evcry timt: lhe' palient has

;¡

(lool. In

pronfs of time the lfolJIs .•re mixt Wilh bll10J , <Jnd

af~

terw.lrch pu re blood is only e\"4!cu<i led. ", nd rhe inteHines

ale a(fl..tled wi th

inC"UI ..blc g.t ngrcne. Yet rOOlctimes:

thert' hu hccn 00 bluod

th rou~h

the whole progrcrs of

the

dife.fe

the p.u icnt is in the flo\Vcr or his ;lgC, or has bC<':1\

hcated wlt h corJI.tls, he is very fc\'eriOI, bis

tOIlJ~l1C i~

" hnin. ,