Cholera as it has recently appeared in the towns of Newcastle and Gateshead : including cases illustrative of its physiology and pathology : with a view to the establishment of sound principles of practice / by T.M. Greenhow.

  • Greenhow T. M. (Thomas Michael), 1791-1881.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: Cholera as it has recently appeared in the towns of Newcastle and Gateshead : including cases illustrative of its physiology and pathology : with a view to the establishment of sound principles of practice / by T.M. Greenhow. 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.

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    appearing, I was compelled to desist before I had obtained three ounces of blood. From this period, I believe, the vomiting ceased, although the fluid from the bowels passed from her as she lay on the bed. In the course of an hour I revisited her, and administered the Nitrous Acid in the following way :— !£>. Acid. Nitros 3i Tinct. Opii glt 1. Mistur. Camph. §vi. m. Sumat Cochl. i amphl. q. q. hora. I now left her, ordering such means as might be neces- , sary in the event of her getting worse. In the morning I found that there had been no sickness, no purging of any consequence since she had been taking the medicine, and that : she had slumbered at intervals during the night. She had taken about half of the mixture. There was now a violent affection of the head, with delirium ; general tremor of the countenance ; a brown parched tongue, and constant strong subsultus of the tendons of the arms, rendering it difficult to ascertain the state of the pulse. This last, however, was not in my opinion such as to indicate the abstraction of blood. I directed the head to be shaved, and that a large blister should be applied to it, and ordered imme- diately a full dose of Colocynth and Calomel, to be followed at intervals of three quarters of an hour, by a table spoon-- ful of Castor Oil until the bowels were freely acted on. In the course of five or six hours bilious stools were the result, and I prescribed the following :— ]£>. Hydrarg. Submur. Pulv. Antimonial. aa gr. x., Cons, q.s. ut ft., Pil. v., Sumat. i., omnihor. cum Cochl. ii., mistur. sequent. $>. Liq. Ammon. Acet. §ij., Sp. ./Ether. Nitros. 3iss., mistur. Camph. §iv. m. On the following morning she was considerably relieved in all her symptoms ; the same medicines were repeated, and the scalp, to which the blister had been applied, was sprinkled with Pulv. Lyttoe, since vesicles had not yet formed.
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