The cholera spasmodica, as observed in Paris in 1832 : comprising its symptoms, pathology, and treatment.

  • Ashbel Smith
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: The cholera spasmodica, as observed in Paris in 1832 : comprising its symptoms, pathology, and treatment. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    85/90 page 79
    men is nearly dissipated. The other adverse symptoms have all dis- appeared. April 16. She is quite recovered. The case is interesting, as it exhibits a form of the disease of rather rare occurrence, viz. choleric symptoms, accompanied by a. constipated state of the bowels. The sudden prostration, sickness of the stomach, and coldness, rendered the debut sufficiently characteristic. These soon disappeared however, and there remained only a single choleric symptom; viz. the cramps, which were very severe. They yielded to very brisk friction, without any other remedy whatever, either internal or external. They had entirely ceased before venesection was performed. Case.—Cholera.—April 10. A young woman, named Henriette Pairier, aged 19 years, unmarried, of moderate embonpoint, and good constitution; after a diarrhoea of three or four days' continuance, was seized about two p. m. to-day with vomiting and cramps, a great increase of the previous diarrhoea simultaneously. She was brought to the hospital about eight p. m.; that is, about six hours after the invasion. Her face cadaverous; limbs cold and livid ; her voice profoundly altered; urinary secretion sup- pressed; pulse imperceptible; thirst urgent; epigastrium not sensible. Purg- ing, vomiting, and cramps at short intervals.—Sinapisms to limbs ; fric- tions; warmth externally; opiate injection; mixture Wo. I. internally, page 46. April 11. Re-action is gradually taking place; the symptoms of yes- terday are somewhat abated in urgency.— Prescription same as yesterday, with the addition of inf. ipecac.; and for a beverage, lemonade. April 12. Re-action is freely declared, but is not excessive; the purging, vomiting, and cramps have ceased.—Lemonade. April 13. Favorable state continues.—Lemonade; gum linctus. April 14. Disposition to sleep, with slight stupor; face flushed; eyes injected ; pulse full, not hard nor frequent.—Lemonade, ice cold; twenty leeches behind the ears. April 15. The symptoms of yesterday, which were abated after the application of the leeches, have re-appeared in the course of the night.— Iced lemonade; bladder of ice to the head two hours, and sinapisms to the lower extremities. April 16. Amelioration during, and for a time after the application of the ice, with a subsequent return of the drowsiness, &c.—Same prescription. April 17, 18, and 19. Same temporary amelioration following the ap- plication of the ice on the head each day. The mouth, however, is be- coming dry, and fuliginous about the lips and teeth.—Same prescription each day. April 20. Drowsiness, and other symptoms more considerable, with slight delirium; and sordes of the tongue, lips, and teeth.—Ice lemonade, ice to the head four hours. April 21. Very considerable amelioration; mouth moist; sordes disap- pearing; intellect clear.—Blister to the inside of one leg; iced lemonade. April 22. The patient is improving.—Lemonade.
    digitised image 1
    digitised image 2
    digitised image 3