Report of the Cholera Hospital, Albion Street, Glasgow.

Date:
1832-[between 1800 and 1899]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the Cholera Hospital, Albion Street, Glasgow. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    36/48 (page 34)
    the capillaries ofi'tbe lungs difficult. The patient does not complain of pain. The tongue is dry and rough, the pulse fre^ quent, and the stethescope, which in the secondary fever of cholera, ought to be most assiduously employed, discovers the indications already-mentioned. Repeated bleeding to five or six ounces, cupping between the shoulders, mild purgatives, (seidlitz powders,) gentle sudorifics, (spt. mendererus and an- tirtionial wine,) and small doses of mercurials, are the remedies on which experience has taught me to place most reliance. Copious bleedings have appeared injurious in almost all forms of secondary fever, and 1 think I have produced much better effects from five or even seven bleedings of five or eight ounces each, than one or two of fifteen or twenty. The muriate is the mercurial which I have lately been in the habit of using. One grain dissolved in an oiuxce of tinct- cardom. comp.; the dose half a dram to a dram, three or four times daily. The safety of the patient depends on ascertaining early, the nature of the affection, by means of the stethescope, and losing no time in employing the appropriate remedies. The presence of bronchitis, in its early stage, can only be ■ ascertained by the stethescope. The remedies most useful are nearly those above-mentioned. Excessive languor and ; listlessness are common symptoms. Depletion does not requita.-.^ to be carried so far as in the last case; siudprjfiQfeancJ^^y/iiiliiie are beneficial towards its termination. !Ktr> ^utrtpnifrn^j obr?> ^rbi-x Little requires to be said of posterior congestion combined with bronchitis, except, that the cases require earlier and more energetic treatment, and are necessarily more &tal. ; At times they run their course with amazing rapidity^ Of . this, the following is an example: it Christina Smith,^t. 28. (Case 1048.) 2d October, 1832.*-i. Was admitted at 6, a.m., with pulse scarcely perceptible, after only two hours' illness, cold tongue, cramps, but the surface still warna and per8|>iring. No treatment previoujs to admission. hnuoi I (f _ To be placed 07i steam couch, Knemn ex. tinct. opii g. xxx. , r , lU,' A.M.—Pulse 120, distinct, perspires very copiously, ^'wjir;^/* stools in bed, tSici''''iijfiij ,i1oi !*»yit£ Joniiaib gj3 Ji ^nid8Bb Continue dn stedtii feoWich, and encb'iiirage perspiration. i']' ^ The purging returning, the enema was repeated, (perhaps improi''^ perly,) and the case assumed the form of bilious discharge, with excessive and constant irritability of stomach. The usual remedies i were employed, but the irritability was very little relieved, and shft^^jrf continued in other respects convalescing. On the 7th, at 11, a.m.,, the stomach was more quiet, and the purging had ceased. Soon after , * I give this case, although not included in the numeirical statements, as ^>ni syniptpms >vere well marked. , v , . », -,-,1 T