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Page 31 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. is the stage in which no rational calculations can be made; and consequently no uniform prescription urged for its treat- ment; at least, so far as I have remarked upon it in Lexing- ton. Cases of collapse may have been cured; I might even state a case of the kind within my own practice; yet such instances must stand as signal exceptions to a general rule, in the history of the epidemic of this city. In almost all cases where I have administered calomel, without the previ- ous use of the emetic, larger and more repeated doses were found necessary to accomplish the object before me; and in other cases where I have relied on calomel and opium with a view to cure, the patient recovered very slowly after the disease was arrested, and was much more liable to relapse, than when treated by emetics and calomel, or by calomel alone. Many cases of confirmed cholera have been cured without the aid of either calomel or emetics. A gentleman eighty years of age in the vicinity of this city, was attacked with rice water discharges which soon began to run from him in- voluntarily. In this situation, he passed the evening and night, wetting every thing beneath him, and remained wrap- ed up in his bedding. In the course of the forenoon of next day, the secretions changed in character, and by the follow- ing day he was entirely relieved, without the aid of any medicine with a view either to alleviation or cure. A precise- ly analogous case occurred in an elderly lady of this city, who has for a long time been confined to her bed. A small pill of opium, riding on horse back, free exercise on foot, and burnt brandy, have each relieved cases of a decided character; nor need credulity startle at this, when it is fa- miliarly, known that a large number of cases wherever the disease may prevail, is the result of panic. As the opera- tions of the mind are capable of exciting it, during a chole- ra predisposition, there must be a corresponding multiplica- tion in the resources of the profession with a view to cure. Any remedy which may produce a return of the healthy secretions of the stomach, liver, and bowels, will cause all 31