THE TREATMENT OF CHOLERA.

From the host of remedies and suggestions that are now deluging the

European medical press, we select the following from Dr. Henry A. Rawlins,

in the _London Med. Times_, July 12. 1884:

The man suffering from cholera has been suddenly deprived by diarrhoea of

an enormous quantity of the fluid part of his blood. This loss is one of

simple transudation, increasing as the powers of life decrease. This

_sudden_ loss produces intense prostration, and renders the heart

powerless to perfect the circulation. The body, thus deprived of oxygen,

speedily runs into decomposition, even before life is extinct. Have we any

agent by which we can collect and press forward these scattered and

lethargic drops of blood to the heart, and enable it to renew the

circulation, and with it the blessings of oxygen to the body? My reply is

emphatically--Yes! Flannel bandages from the toes to the trunk, around the

abdomen, and from the fingers to the body, will effect this object

perfectly. Remark that the effect is gradual, increasing with every turn

of the roller, but would be in full force in about twenty minutes. By thus

exposing the blood in the lungs to the action of oxygen in its diluted

form, as it is in the air, instead of pure oxygen, the reaction would

neither be too rapid nor too dangerous. In confirmation of my views, I

have this day learned that it is the custom in India to wear a double roll

of flannel around the abdomen, as a preventive to cholera. The other

advantages resulting from the use of the flannel bandages are:

1. That they prevent the escape of heat from the body of the poor creature

who is already in a state of refrigeration.

2. By their firmly and equally grasping both flexor and extensor muscles

alike, they are steadied, and rendered much less likely to be affected

with spasmodic action or cramp.

3. By their steady _elastic_ pressure and support of about 160 pounds,

they persistently keep up and sustain the circulation of the blood, which

they had previously restored.

4. That the oxygen thus well secured to the blood will, I believe, prove

quite sufficient to neutralize the original poison, and also destroy its

effects.

5. That this much can at least be claimed for their use--that they remove

from nature a stumbling-block, which prevented her from exercising her

marvelous recuperative powers. Diluted sulphuric acid is the best medicine

to arrest the flux from the bowels, acting also as a tonic. It should be

given in five-minim doses about every half hour, with rice gruel. By

adopting this plan, the natural process is brought about, that of the

starch being converted into grape sugar. Plenty of white of egg, well

whipped up, so as to nourish the body and convey oxygen into the stomach,

which it will appropriate, should be given. Opium, in small quantities,

and other stimulants, should be given according to the necessities of the

case. May it not be well, through the medium of wet sponge over the

thorax, to apply a continuous but gentle current of galvanism, so as to

stimulate the heart's action, keep alive the respiratory movements, and

thereby assist in the maintenance of the functions of the body?

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Scientific American Supplement, No. 455, September 20, 1884 · 第 37 / 48 题