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29 > Page 29 of Account of spasmodic cholera as it appeared in the city of Lexington in June 1833 / by Lunsford P. Yandell, M.D.

DUDLEY on Epidemic Cholera. al died, an old female slave of seventy years, who was in collapse when first observed, and from whom the emetic was withheld. In all my intercourse with the sick of the city, I was uni- formly pleased with the effects of the emetic, administered in the early stage of the disease. I was enabled by it to subdue the irritable state of the stomach, and thus prepare that organ to retain calomel, which it too often failed to do, when not tranquillized by medicinal vomiting. The benefit of the emetic was manifest in many cases, where the con- tents of a torpid stomach were thrown off unchanged, the day after indulgence in a hearty meal. Among many cases that might be recited, was that of a cook of a private family, who was attacked with copious rice water discharges, and who, under the free influence of ipecac and salt water, threw off half a bason-full of snap-beans unchanged by the powers of the stomach, which she had dined on the day before. The effect of free vomiting upon the watery secretions of the bowels, was equally evident. A young female who had been exhausted by her attention to the various members of her family, added to all the domestic labors which devolved up- on her, became finally the subject of rice water discharges, and bad six copious evacuations between my noon and eve- ning visits. Being without a nurse, or any person to assist her, I administered the emetic myself, and vomited her free- ly half-a-dozen times. She was then placed between blan- kets, where she remained without molestation from her bow- els five hours. At the expiration of that time, the liver be- gan to act freely, and continued to do so, until the- secretions became healthy; so that at the expiration of twenty-four hours, she resumed her attention to her sick family. This treatment was not the result of choice, but in part of neces- sity, as she had no one to send after another prescription, and the urgent importunities of others, whose cases were thought more violent, caused me to neglect her. In all cases where the emetic was administered in the early stage, to a 29