On the antidotal treatment of the epidemic cholera, with a sketch of the physiology of this disease, as deduced from that of intermittent fever / by John Parkin.

Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: On the antidotal treatment of the epidemic cholera, with a sketch of the physiology of this disease, as deduced from that of intermittent fever / by John Parkin. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    98/140 (page 72)
    Collapse.—In the commencement of tlie stage of collapse, if no carbonic acid has been previously administered, a draught should he given evei'y quarter of an hour, until three or four doses have been taken. After this, the medicine may he re- peated at longer intervals, as every hour, while the purging continues, and every two liours when the evacuations have become entirely suspended. When the purging is severe, or of long continuance, it is always necessary to administer the pure carbon, botli in tlie form of injection and by the mouth, in addition to the carbonic acid. • But if, after this course has been adopted, no relief appears to be produced, it will then be ad- visable to resort to some stimulant; and the best that can be used at this period is, in my opinion, the carbonate of ammonia, which mav either be given alone, or combined with an acid in a state of effervescence, according to the number of doses that have been taken of the soda, and the necessity there may appear to he for the repetition of the gas. On this point no general rules can be given, as much will depend on the state of the patient, the effect that has been produced, and, lastly, the previous state of the bowels—as, when the evacuations are jirofuse and frequent, we have a right to presume that a great part of the remedy escapes out of the body by this channel without being absorbed. If the above means fail, or should we be called, for the first time, to a patient in a state of confirmed collapse, we shall then be obliged to resort to other