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Page 26 of Account of spasmodic cholera as it appeared in the city of Lexington in June 1833 / by Lunsford P. Yandell, M.D.

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DUDLEY on Epidemic Cholera. fully raised by the circumstances already indicated in this paper -chiefly by the ignorance, or carelessness of its victims, through which the time, when cure was practicable, was al- lowed often to elapse. When, therefore, experience shall have taught men the importance of meeting the first symptoms of the disease, and of controlling their passions, and governing their appetites, its ravages will cease to be so frightful. ART. VI.-Observations on Epidemic Cholera. By BENJAMIN W. DUDLEY, M. D., c. (In a letter addressed to the Editor.) DEAR SnI:-I present you with a brief summary of my observations and practice in the epidemic cholera, which has recently visited our city. The history of the disease, even when confined to our small population, and to the localities within the city, presents inscrutable difficulties to the con- sideration of the medical philosopher. Last fall, the very few cases that occured, were all confined to the imprudent, or the indigent, on Water Street, or in other low situations. On the recent occasion, the complaint appeared about the same time in different parts of the city without regard to lo- cality. The isolated dwelling, enjoying all the advantages of elevation, and of air, did not prove more exempt from its ravages than others, situated in the lowest, and most dense parts of our city. For some weeks previous to, and during the continuance of the malady, almost every person with whom I had inter- course, complained of the generation of large quantities of wind in the stomach, and of unpleasant sensations in the bowels. After the cholera made its appearance, notwith- standing the prudent and discreet reduced the quantity, and variety of their food, and paid particular attention to its quality, still the symptoms of indigestion were very general. "6Cholerine" made its appearance in some instances, both be- 26