The pathology and treatment of Asiatic cholera, so called / by A.L. Cox.

  • Cox, Abm. L. (Abraham Lidden), 1800-1864.
Date:
1849
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Licence: Public Domain Mark

Credit: The pathology and treatment of Asiatic cholera, so called / by A.L. Cox. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    aperture of the larynx called the glottis, causes hoarseness. Noav, the lining membrane of this organ is composed of blood-vessels and small mucous crypts, or glandulfe, which by the loss of their fluid blood collapse, and greatly enlarge the glottis, or aperture of the larynx. Thus the loss of fluid agam afibrds a satisfactory solution of another phenomenon of this disease. COMA. The coma and contraction of the jDupils which immediately pre- cede death in this epidemic, are often regarded by unmedical persons as the eftect of opiates and stimulants, to which they are indeed almost universally attributed with entire honesty and deep conviction. But that such is not the cause is evident from the occurrence of the same symptoms at the same period of collapse in other j^atients, who have had no stimulants or opiates, and have even been without any treatment whatever, while jDcrsons who are treated successfully with large doses of these agents are not at all affected with these symptoms. Yet the resemblance of the case to that of narcosis is very striking, and it is well to understand its cause. This is to be looked for chiefly in the pi'esence of the minous particles retained in the blood, as before explained. PRINCIPLES OF TREATMENT. As, therefore, the discharge of the water of the blood explains the pathology of Cholera, it at once furnishes the true clue to the treat- ment of it. This has been unfortunately conducted, hitherto, on principles of necessity purely empirical, but if we retain in mind the natm-e of the disease, our practice will bo no longer uncertain, and there can be