A 575176




'LEAR-Y,
I~ookseller,
11th &Walnut
U Philada.




Of)
3~~







r
I
i
ii




4
1




ji

TH Z
C HOL E RA,
AND ITS
HOM(IEOPATHIIC TRE ATM Z'ýN T.

VD~y
DR. F.' IILTNPHREYS.
NEW YORK:
WILLIAM RADDE, PUBLISHER,
322 BROADWAY.
1849.




tntered according to Act of Congress, in the yetr 1948, by
WILLIAM RADDE,
hi the Clerk's Office of the District Court of the Southern District of
New-York.
I. LUDWIG & CO., PRINTERS,
70 Vesey-street, N. Y.




PREFACE.
IT was my intention to have translated
and published some work upon the Cholera,
upon the first apprehension of its visitation.
But upon reading over everything which
had been recently published upon the subject, the conclusion was apparent that such
a course would not at all meet the demands
of the case. The best articles were confined to the Medical Journals; others
were meagre pamphlets, designed for laymen, and merely intended to supply a local
want. I have therefore followed the advice of my excellent friend, Dr. Hering,
and have written upon the subject, drawing upon all the material within my reach,
none of which has been published in our
language. The authorities are: Dr. Nus



PREFACE.

ser, Iahlnemann, Dr. Lobethal, Dr. Wiesenstein, Dr. George           Huseman, Dr. Hencke,
and others, all of whom            have written more
or less extensively upon the subject.
F. HUMPHREYS.
Utica, November 22, 1848.
WItLLi]AMI RADDI,
322 BROADWAY, NEW-YORK.
Respectfully informs the IHommopathic Physicians, and the Friends
of the System, that he is the Sole Agent for the Leipzig Central Homeopathic Pharmacy, and that he has always on hand a good assort.
ment of the best
HOMCEOPATHIC MEDICINES,
In complete sets or by single vials, in Tinctures, Dilutions and
Triturations; also, Pocket Cases of Medicines; Physicians' and
Family Medicine Chests to LAURIE'S Domestic (60 Remedies)EPP'S (58 Remedies)-- HERING'S (82 Remedies).-Small PocketCases at $3, with Family Guide and 27 Remedies.-Cases containing 415 Vials with Tinctures and Triturations for Physicians.Cases with 260 Vials of Tinctures and Triturations to Jahr's New
Manual, or Symptomen-Codex..-POCKET CASES with 60 Vials of
Tinctures and Triturations.-Cases from 200 to 300 Vials with low
and high dilutions of medicated pellets.-Cases from 50 to 80 Vials
of low and high dilutions, &c., &c. Homeopathic Chocolate. Refined Sugar of Milk, pure Globules, &c., Arnica Tincture, the best
specific remedy for bruises, sprains, wounds, etc. Arnica Plaster, the
best application for Corns. Urtica Urens, the best specific remedy for
Burns. Also, Books, Pamphlets, and Standard Works on the System,
in the English, French, and German languages.




THE     CHOLERA
HOM(EOPATHICALLY TREATED.
WHEN the Cholera first made its appearance in Europe in 1831, IIomceopathy could
boast of but a small number of adherents.
From the attenuated size of the doses
of medicine employed, and the complete
departure from the ordinary rules of practice, it had excited but comparatively little
attention among the public or medical
world.  Among the monarchical institutions of Europe, where everything combines
to sustain the powers that be, nothing is
so much dreaded as the promulgation of
new doctrines and opinions which may
tend to unsettle the influence of those in
place, and hence the disfavour with which
1*




THE CHOLERA

all new doctrines are viewed. It is not
strange, that amid so many prejudicial influences the doctrines of Hahnemann, however beneficial for mankind, should have
been received with no greater favour by
physicians in general.
It was very generally believed when this
Asiatic scourge first threatened western
Europe with its presence, that should it come
to be removed from its native jungles, and
the crowded and ill-fed masses in the cities
of the east, and subjected to the scrutinizing gaze and scientific examination of the
enlightened physicians of Europe, its power would be broken. Numbers of the most
able practitioners hastened to give the
public their views upon the nature of the
disease and its treatment, and in a short
time the press was deluged with a very
chaos of theories and opinions respecting
it. But, alas! the Cholera paid but very
little attention to these views. The treatment of the ablest allceopathic practitioners was but little more successful than that
of the ignorant charlatan; and in almost
every place where it appeared, in a very
little time, the common people, scorning
the mockery of such medical treatment,




IOM(EOPATHICALLY TREATED.

cast their reproaches upon the physicians,
refused all medical aid, and the half and
even two-thirds of all who were attacked
went down to the grave.
It was at this time that Hahnemann, in
a brief circular, gave to his scattered disciples and the public his views respecting
the treatment of this disease. IIe recommended the Camphor as the principal remedy, in connection with the Cuprum and
Veratrum, upon the ground of their pathogenetic action upon the healthy, as containing the required curative indications,
and as being the most appropriate remedies in this disease. The success of their
application placed the truth of his observation at once in the most brilliant light. His
disciples administered these medicines with
such marked success, that several different
European governments afterwards authorized the collection of the various items of
statistics which were formally reported to
them. The following is a list of those in
our possession.
1. Dr. Roth reported to the Bavarian
government, that 1269 cholera patients had
been treated homoeopathically in the Bavarian and neighbouring Austrian states;




THE CHOLERA

of these, 1184 were cured, and only 85
died.
2. Dr. Bakody reported officially to
Count Ferraris, health commissioner, that
in the territory of Raab, in Hungary, he
had treated homceopathically 223 patients
with Cholera. Of these, 215 were cured,
and 8 died.
3. From the official report of Admiral
Mordrinoff to the Russian government concerning the hommopathic treatment of
Cholera, it appears:
1. That in the district of Balaschof there
were in the several villages of that district,
625 patients treated by the Chamberlain, A.
N. Svof, of whom 564 were cured, and 61
died.
2. In the same district, upon the property of the proprietor, when homoeopathic
aid was administered without the least delay, 50 cases occurred, and 50 were cured.
3. There were, from the report of M.
Pevalischine, on his possessions, 38 treated:
36 cured, and two died.
4. Report ofM. Bitutsky, on his possessions
there were 19 cases: 16 cured, and 3 died.




HOMCEOPATHICALLY TREATED.

5. Report of M. A. A. Stolpyne: he had
13 cases treated, 12 cured and 1 died.
6. In the possessions of Baron Brode
there were 188 cases treated: 177 cured,
and 11 died, according to his report.
7. In the village of Saratof, Dr. Kleiner
treated hommeopathically 39 cases, 36 of
whom were cured, and 3 died.
8. In the village of Gloubokienski, in the
Don country, district Kamench, according to
report of Dr. Kleiner, 59 cases were treated: 53 cured, 6 died.
9. In the villages of Renchevatiskeo and
Illsenskoe, situated on the line of observation of the Caucasus, there were 85 treated: 67 cured, 18 died.
10. In the village of Raskasovo and
vicinity, from the report of M. A. V. Toulienf, who treated the patients, and of the
proprietor, there were 92 cases treated:
87 of whom were cured, and 5 died.
11. On the property of A. M. Poltaratski, from the report of the proprietor, there
were 45 cases treated: 44 were cured, and
1 died.
As a summary of the whole number of
cholera patients treated homaeopathically,




10

THE CHOLERA

up to 1832, collected by Dr. Peschier, we
have: In Russia, from the documents of
Admiral Mordrinoff, there were 1557 patients treated: 1394 were cured, 163 died.
In Austria, documents of Dr. Roth and
observations of Drs. Schuter, Hanessch,
and Quinn, 1406 cases were treated: 1314
cured, and 95 died.
At Berlin, observations of Drs. Stuller
and Hayne, there were 32 cases treated:
26 were cured, and 6 died.
At Paris, observation of Dr. Quinn, there
were 19 cases treated, and 19 cured.
From the foregoing statistics it will be
observed, that of 3017 cases, 2753 were
cured, and 264 died; or a proportion of
eight and a half per cent.
Such results, occurring in portions of
country where the mortality under the
ordinary methods of treatment varied from
fifty to sixty or even to seventy per cent.,
could not fail to attract attention. The
result was, that several European governments which had adopted stringent measures to prevent the spread of this medical
heresy, either relaxed or abolished them
altogether; the attention of the public was




HOMCEOPATHICALLY TREATED.

11

directed to this source; and many physicians of skill and eminence were induced
to study and investigate the new method
of practice. From that day a brighter era
has dawned upon homwoopathy, and both
in Europe and in this country her increase
and extension has been most triumphant
and satisfactory.
After an absence of ten or twelve years,
this scourge of our race, having almost
made the circuit of the earth, has again
left its old haunts in the east, and appeared in the north and west of Europe, and
from thence hangs as a threatening cloud
upon our horizon. During its long absence, it seems to have lost nothing of its
former violence and malignancy.  Thus
far, following nearly the same track as in
1831 and 1832, the mortality has been full
as large as formerly: 50, 60, and even 75
per cent., in the larger cities, has been the
proportion of deaths to the number of persons attacked.
Fortunately, the experience gained during
its former visitations, has not been lost
upon us; and with its anticipated return,
there are a large number of able and ex



12

THE CHOLERA

perienced homoeopathic physicians prepared for its reception; and thousands of
our population expect at their hand aid
and comfort in the hour of extremity and
peril.
Our allceopathic brethren, too, will be
better prepared to meet it.  With the
Camphor, a remedy for the use of which in
this disease they are wholly indebted to
Hommopathy, and Ipecac., though neither
the best remedies nor used in the best
manner, they will meet the enemy with far
better success than at its former visitation.
The remote cause of this disease may be
considered as a peculiar poison, (miasm,)
which is only propagated among men, and
which seems to be contained in their neighbourhood, clothing, habitations, &c.
The Cholera miasm   excites of itself,
among persons of general good health,
only a slight malise, or sickness, and at
the most, only the first stage of the Cholera, the Cholerina. Almost all observers
confirm the fact, that the Cholera perhaps
always comes on after more or less con



HOMCEOPATHICALLY TREATED.

13

siderable precursors, and we may say,
never breaks out at once as a fully developed disease; or at least such sudden attacks are unusually rare. The Cholera
predisposition being present, a farther occasional cause, such as fear, some error in
diet, a slight chill, or some excess, serves
to develop the disease into the wellmarked Asiatic Cholera. This is the principal source of consolation with reference
to its approach, as well as a point for the
application of prophylactics.
The duration of an epidemic in a place
is different according to its location, its size,
the density of its population, and other circumstances. It is usually, however, some
months, with sporadic cases of greater or
less violence before and afterwards, which
all partake to some extent of the prevailing influence, until the disease shows no
farther disposition to propagate itself. The
proportion of the inhabitants who are attacked, ranges from one-third of the entire
population, to one person in three hundred.
'We may remark, that the free air seems to
attenuate the Cholera miasm, and is a very
bad conductor for it. For, first, the Chole2




14

THE CHOLERA

ra in infected cities does not equally extend over every part, but stretches itself
along certain houses and streets. It is at
times continually in the midst of travelling
caravans, armies, and ships, either journeying with them, or leaping from point to
point in their route. 2d. In narrow, contracted dwellings, lanes and alleys, hospitals and other confined habitations, the
miasm is far more concentrated, intensive
and malignant, than in a more open atmosphere; often even 99-100ths of those who
are attacked in such localities dying. 3d.
In certain grades of the Cholera, the temperature of the atmosphere appears to have
but little influence upon it.
Occasional Causes: Among the most prominent of these may be named fear, an
apprehensive state of mind; a sudden
fright; loathing, on account of any offensive object; grief, especially continuous,
depressing grief; errors in diet, particularly
the use of heavy, indigestible food, and all
such articles as dispose to relax the state
of the bowels; beer, cider, and mineral
waters; purgative or cathartic medicines;
these are rarely or never beneficial, and




HOM(EOPATHICALLY TREATED.

15

during a cholera epidemic may easily give
occasion, by relaxing the integrity of the
intestinal canal, to a sudden and fearful attack of the disease. Chill, the so-called
taking cold; dampness or humidity; heat,
a high temperature of the air; flat, low
plains; cellars, or the basement stories of
dwellings; and crowded habitations, as prisons; narrow lanes and alleys, where the
air is close and confined.
Among the occasional causes which tend
to diminish the disposition to this disease,
may be named: a cold temperature of the
air, and a considerable altitude above the
level of the sea. To these may be added,
a section of country free from         lime-stone,
and of course lime water.*
* Dr. Charles T. Jackson expresses the belief, that New
England will again escape the ravages of the Cholera. He
says:
"We have a right to infer, that since it never has visited
the granite countries of Switzerland or Tyrol, in Europe,
while it followed the calcareous district around; and since
it did not occur in the primary districts of Maine, New
Hampshire, Vermont, or Massachusetts; while it did follow
the calcareous formation through Canada, New York, Ohio,
and along the Mississippi-that the calcareous soil or waters
had much to do with the production of the disease. We
know that the bowels of any Eastern man who travels
through the calcareous districts of the Western states, are
much disturbed by the action of bi-carbonate of lime which




16

THE CHOLERA

Chlorine does not here appear to possess
any special disinfecting power.
Predisposing causes: Persons of middle
age are more liable to attacks than infancy
and old age. The female sex are considered more subject to it than males; idiocy; chronic diarrhoea especially predisposes
the system for it; habitiis venosus; persons
of scrofulous diathesis; intermitting fevers. Among children, the male sex are
more liable than the female, and those affected with apthae, jaundice, worms, and
those who suffer from teething, are more disposed to an attack of Cholera than others.
It has been remarked, that infancy and
old age are most exempt; and those suffering from ulcers of the legs, from phthisis,
and the influenza, especially the latter, are
least subject to the disease.
DIAGNosIS: I. Copious secretion in the
stomach and intestinal canal of a serous
fluid. It is like the white of an egg or
rice water, neutral, somewhat yellowish,
is contained in the water; and hence we might naturally
infer, that such a disturbing cause might render the constitution more liable to the Cholera, which has its seat in the
stomach and small intestines."




HOM(MOPATHICALLY TREATED.

17

mixed with whitish flocks of the size of linseed, and at times with blood; of a slight
mouldy, sperm-like smell, and flat, insipid
taste, which is discharged without exertion
by the mouth and rectum. In more rare
cases, the discharges are almost pure, thick,
coagulable flocks, with very little serum.
II. Great dim nution or entire disappearance of all the secretions and excretions.
The tears cease to flow; the saliva is dried
up, and the mouth is parched; there is no
trace of bile in the intestinal canal; the
faeces are wanting in the discharges; there
is an entire suppression of the urine, and the
bladder is empty; the expiration and perspiration are both suppressed. The secretion of milk in nurses and that of the
menses are only excepted. III. Deficiency
of elasticity and warmth in the skin; hence
we have the Cholera shrinking or shrivelling of the hands and other parts, like those
of a washerwoman,facies cholerica, lead-coloured countenance, &c. The mucous membrane becomes involved, hence the cold
tongue, hoarse peculiar cholera voice, and
cold breath. The blood vessels and the
heart are similarly affected, hence the soft
2*




THE CHOLERA

pulse, the bellows tone of the heart, and
stagnation of blood. 4. Tonic cramp of the
muscles, less frequently clonic, especially
of the lower extremities and the abdomen.
COURSE. The Cholera has usually three
several stages. Besides these, there are
frequently slight precursory symptoms,
which may even continue for days and
weeks previous to the attack, such as: Irritability of mind; lassitude; sleeplessness;
unrefreshing sleep; soft and slow pulse;
confusion of the head; paleness of face;
pressure of the stomach; nausea; rumbling
of the abdomen; inclination to diarrhoea;
cramp of the calves, &c.
1st STADIUM. THE CHOLERINA. The patients have an aching or pressure in the pit
of the stomach, which is worse upon contact; burning, which often extends to the
throat and the abdomen; diarrhoea, especially in the morning, which varies considerably in its consistency, colour, &c., but is
fecal. At times, it is continuous, the patient
having 10, 12 to 20 stools in the course of
24 hours, which during the transition to
the 2d stage becomes constantly more and
more thin and serous, until the flocculent




HOMCEOPATHTCALLY TREATED.

19

discharges appear; or, after some more
natural discharges, the stools assume the
characteristic cholera appearances. Often,
early in this stage, upon auscultation, the
bellows-sound may be distinguished, first in
the abdominal aorta, and later in the heart
itself. The pulse becomes softer, the thirst
more or less intense in proportion to the
frequency and fluidity of the diarrhoea, and
the number and grade of the accompanying symptoms, as given among the precursors.  Duration extends from a few
hours to over seven days.
TERMINATIONS: Either in health, by the
gradual remission of the symptoms; the
appearance of slight sweat; quiet sleep;
an increase of urine; and more consistent
stools.-Or, it may pass into the second
stage, with an increase of the symptoms,
and the formation of the characteristic evacuations.-Or, finally, it may end in the
typhus variety; w.ith great dulness and stupidity, the head becoming heavy and confused, with pressure especially in the forehead; the eyelids red and inflamed; roaring
in the ears and hardness of hearing; warm
tongue, &c.




THE CHOLERA

2d STADIUM. CHOLERA EXQUISITA. It begins in the usual course, as soon as the
vomitings come on and the evacuations upward and downward assume the characteristic peculiarities. Its conclusion is also
marked by the remission of the vomitings.
Duration is from two to forty-eight hours.
The disease presents the following picture.
1. Anguish in the chest, an anguish like
that of death, sometimes the patient lying
still upon his back, at others with great
complaining, inquietude and tossing about.
2. Indiference, want of interest and insensibility to everything, even relatives
and bodily injuries.
3. & 4. Cramps. Perhaps from congestion of blood in the spasmodically-contracted vessels, as in proportion to the
cramps we have venous congestion and
blueness of the surface. They are mostly
tonic; less frequently clonic, and more so
at the commencement of the attack, and
are manifest to the touch by the rigidity,
hardness and knotting of the muscles, which
often remains after death. They commence usually in the lower extremities and
pass to the upper, then to the muscles of




HOMEOPATHICALLY TREATED.

21

the abdomen and the chest, and sometimes
even the jaw itself. Not unfrequently they
are very slight or almost eintirely wanting;
at others excessively violent, and excite in
the abdominal muscles violent tearing
pains, causing the patient to scream out
with  agony.   The voluntary muscular
strength still continues with increasing
weariness and lameness. Paralysis of the
muscles never appears, although in death
the muscles remain tense.
5. The pulse at the wrist is very soft,
and towards the peripheric not perceptible
to the finger; and in attacks of spasm, disappearing or raising to 110 or 120; and
later it becomes threadlike, and imperceptible. At the carotids and heart, it is likewise soft and small, yet continues longer
perceptible. Upon auscultation, the sound
of the auricle is very indistinct, while that
of the ventricle is very clear, especially at
the precordia.
6. The skin is especially inelastic, cold,
dry, glazed, pale or leaden-gray; on the
glans, the fingers, toes, and point of the
nose, and around the eyes, a bluish gray
colour, and sometimes even violet. From




THE CHOLERA

want of elasticity, the skin forms long
folds or wrinkles, especially on the back of
the hand, the fingers and abdomen. Some
elevated folds remain standing, or show
themselves slowly after each other. Wounds
do not gape open, and the skin feels like
buckskin. If sprinkled or bathed with cold
water, there is no appearance of goosepimples or cutis anserina. With children
and fat persons the folds are often scarcely
perceptible. The temperature of the surface is from 60 to 70 Fahrenheit, the lowest at the points of the toes, the fingers, the
nose, and the ears; a few grades higher
upon the chest and under the armpits.
The coldness appears first, and is by far the
most intense at the lower extremities. The
sensation of warmth to the patient remains;
blisters redden the surface; the itch disappears; syphilis remains, and dropsies sink
away; all these diseases of the skin return
again after Cholera and are increased.
7. Facies cholerica: The eyeballs are
rolled upwards, heavy and glazed; the pupils are dilated; sclerotica surrounded with
a bluish half moon; staring gaze; the upper eyelid is half closed, the lower is sur



HOM(EOPATHICALLY TREATED.

23

rounded with a bluish half moon. The
colour of the face is pale, from leaden-gray
to violet; skin on the lips, cheeks and point
of the nose appears glazed; the nose is
pointed; cheeks are sunk in; the upper lip
is drawn upwards; the nostrils and cartilage of the ear are very movable, with
folds or wrinkles from the nostrils to the
corners of the mouth.  This facies cholerica is a peculiar characteristic of the
highest grades of the disease, and is indeed
a frightful and ghostlike appearance.
8. The tongue and mucous membrane of
the mouth is cold, dry, and feels like tanned
leather; it is movable, and at the commencement of the attack clean, but during
its progress to the first variety it becomes coated; with greater danger it is
bluish, sometimes it is shrunk up, shrivelled, and this contracted state of the tongue
is considered as a particularly fatal symptom.
9. Aching in the prcecordia, aggravated
by external pressure, often by the slightest,
with anguish and oppression; at times
there is also burning, extending from the
precordia down into the abdomen, and upward inrto the oesophagus.




THE CHOLERA

10. Thirst. At the beginning it is moderate, but later becomes inextinguishable;
sometimes with dread of drink, or with violent longing after water or fruit, acids and
fresh air.
11. 12. The characteristic evacuations*
upwards, come on usually somewhat later
than those downward. The vomiting alternates with diarrhoa, which becomes more
thin and somewhat flocculent, gushing out
without exertion, and sometimes in such
large masses as to appear like thick pea
soup, which, however, is not to be considered unfavourable. During the transition
towards health, the stools become loamy.
They are sometimes mixed with blood,
and are either bright red, dissolved in the
exudations and scentless, which mostly occurs among plethoric subjects between the
ages of 24 and 40; or, it is darker, unmixed '
and bad smelling, as appears among old
people. These mixed bloody stools are always in the highest degree dangerous.
13. Suppression of the secretions and excretions, as we have noticed in the diagnosis.
* See Diagnosis.




IIOM(EOPATHICALLY TREATED.

25

14. The breath is cold, from 60 to 65
Fahrenheit; the inspiration is deep and
somewhat slow, the expiration short and
groaning. Upon auscultation, the respiratory murmur is very distinct and somewhat
puerile; the tone, upon percussion of the
thorax, is very clear on the anterior and
posterior portions, as if from emphysema.
15. Cholera voice: arising from the want
of elasticity of the mucous membrane and
epiglottis, and the muscular spasm. Occasionally after the first, but most usually
after the third or fourth vomiting, the voice
becomes characteristic; it is rough and
hoarse. Hiccough is not unfrequently present, and is often very distressing.
16. 17. Aggravation of the disease after
midnight and towards morning; during the
afternoon the patients lie more quietly.
Every movement exhausts the patient very
much. It has been remarked, that by far
the greatest number are attacked with cholera between midnight and day-break.
TERMINATIONS OF THIlS STAGE: (a) In health,
by the diminution or disappearance of the
symptoms peculiar to this stage, and the appearance of those belonging to the first.
3




26

THE CHOLERA

Remission of the coldness, and dryness of
the skin; the pulse comes up, the thirst and
anguish abate. The vomiting becomes less,
and assumes a yellowish-green cast; the
stools become greenish, or brownish; sweat
appears; there is more calmness and lassitude, and sleep comes on; later the urine
becomes pale, yellow, clear and copious,
and finally there is increased appetite.
Wounds heal very quickly. Duration of
convalescence from 2 to 14 days: or (b) it
may end in the third stage: with disappearance of the vomiting, failure of the pulse,
et cetera; or (c) again it may end in the
typhus variety: with drowsiness, roaring in
the ears, bluish face, and other symptoms
peculiar to that condition.
3D STAGE: Usually known as the paralytic, or state of collapse, from the loss of
pulse, suppressed circulation, &c. The
commencement of this stage is marked by
the remission of the vomiting. Therewith
there is the highest degree of indifference,
at times like delirium, though consciousness
continues to the end. The greatest weakness is present; the patient lying on the
back, or sinking down towards the foot of




HOMCEOPATHICALLY TREATED.

27

the bed; on the skin there returns a slight
degree of warmth and moisture; a more
marked blueness and facies cholerica; pulse
becomes imperceptible at the wrist, later
even at the carotids, and the heart itself;
the eyes are dim, and when speaking appear
glazed; seldom or never is there the characteristic vomiting, and diarrhoea; but
later, the stools are passed involuntarily as
from a rill; the respiration is laborious,
rattling, and almost gone. Duration is from
one to two hours, and up to as many days.
TERMINATIONS: (a) In death, often after
a long period of suppressed circulation of
the blood, and of the respiration. (b) In
convalescence: when the arrest of the circulation has not continued for too long a
period; when the stools appear bilious;
there is a return of the pulse and tone of the
heart; disappearance of the blueness; and
the anguish; and the respiration becomes
easier; yet the return to health is very tedious. Very trifling circumstances, as for
instance, a slight degree of mental excitement, increased warmth, or heightened temperature, and some kinds of food and drink,
excite again the anguish, palpitation of the




28

THE CHOLERA

heart, small soft pulse, and inclination to
vomiting and diarrhea. Weakness as after great loss of fluids, with inquiet sleep,
&c., remains for a longer or shorter time.
Or, (c) in the typhus variety, (see below,)
with coming on of stupor, &c.
VARIETIES: IST VAIEiTY. Among these by
far the most frequent is the congestive
form, which in its farther development becomes the typhus; as it is from the reaction
of the cholera itself, and is its direct counterpart. We have here arterial congestion
and symptoms derived from it, in the brain,
spinal cord, and their nerves; while in
venous cholera, the brain and organs of
sense maintain their supremacy. Hence
existing inflammations very quickly disappear during an attack of cholera, and during the convalescence wounds heal up
very suddenly. From hence also it is the
most frequent variety, traces of it being
found in almost every patient. It may take
part at the beginning of an attack of cholera, or it may arise out of a cholerina, or
from either the fully-developed or asphyctic
form of the disease. It very commonly
arises where many people are crowded to



HOM(EOPATHICALLY TREATED.

29

gether, living in close, confined dwellings,
where there is a high degree of cholera
miasm prevalent; or it may arise in the
course of the disease from an entire or partial suppression of the evacuations. The
symptoms are: quiet immovable position
upon the back, and later, sinking down to
the foot of the bed; stupidity; when roused
up, the patient only complains of great
weakness; momentary delirium; the eyes
are staring; pupils dilated; conjunctiva
reddish; hardness of hearing; humming in
the cars; dirty-bluish colour of the face;
nostrils dark and foul; the tongue is
dry in the middle, somewhat swollen, as
if oedematous, and indented from the impression of the teeth; the tongue, teeth,
lips, &c., covered with sordes; the thirst is
but slight; respiration accelerated, and
somewhat puerile; the speech is not hoarse,
but thick, stammering; the pulse again becomes perceptible, the tone of the heart is
not free, and the contractions appear laborious. Later there comes on somnolency,
then sopor, then stupor; or, great delirium,
desire to fly out of bed, or entire unconsciousness, rattling  respiration, and in  rare
3*




30

THE CHOLERA

cases, meteorism. Finally, the pulse and
strokes of the heart become intermittent,
very rapid; the carotids pulsate violently,
the air no longer penetrates the lower portion of the lungs; the respiration becomes
more and more slow; and death ensues.Or, there arises a remission of the great exhaustion and deliritim; the urine becomes
more clear and copious, moderate sweat
and sleep come on, which are followed by
convalescence. Duration from five to ten
days. Trembling of the hands, calor mordax, meteorism, the usual attendants of
typhus, are wholly wanting, or occur very
seldom.
2ND VARIETY. Hydrocephalus cholericus.
It appears among infants and children up
to the seventh year, and is essentially a
form of the first variety. Its attack is often
very sudden. It is manifest by tossing about
of the patient; somnolency; stupor; almost
entire loss of consciousness; bending back
of the head; boring of the head into the pillow, hot scalp. The ears and nose are cold;
the eyes half open; the eyeballs rolled upwards; cornea slightly glazed, pupils dilated,
and some intolerance of light. The mus



HOMCEOPATHICALLY TREATED.

31

cles of the throat, especially the sternomastoideus are tense'; the abdomen is fallen in and soft; respiration is accelerated
with occasional deep inspirations; the extremities cold; the thighs drawn upward;
the pulse quick, tense, and changeable.
This variety appears often very suddenly,
frequently after the second or third stage
of the usual cholera. Duration from four
to ten days.
3D VARIETY. Cholera asphyctica. Cholera with predominating affection of the organs of the chest, lungs and heart. Here
we have the greatest anguish and inquietude; blueness of the face and extremities;
the evacuations upward and downward,
and the cramps, are comparatively slight;
but in place of these, the respiration is in
the highest degree difficult and laborious,
but yet painless. The respiratory murmur
is very loud; the strokes of the heart are
small, almost imperceptible, at times a
mere flutter; it has often the shortest and
most highly dangerous course. This form
appears particularly among strong plethoric
men of twenty or thirty years, in different
grades and modifications, and is often a




32

THE CHOLERA

termination of different stages and varieties.
FOURTH VARIETY.-The so-called Diarrhcea colerica is only a very slow and mild
course of the second.stage.
FIFTH VARIETY.-Cholera of pregnant women. It has commonly the usual course,
but is almost always attended with the
death of the fotus, which is generally preceded by violent movements of the child.
SIXTH VARIETY.-Cholera sicca, dry Cholera. A Cholera without any vomiting or
diarrhoea, and belongs among the most seldom-appearing diseases, at least in Europe.
PATHOLOGICAL ANATOMY. 1. The skin has
yet the Habitus cholcricus, the blueness, &c.,
to almost the same degree as during life.
From the permanence and importance of
the symptom, inelasticity of the skin, the
body after death does not become white.
2. The mucous membrane in the stomach,
less in the duodennm and jejunum, particularly the epithelium, is rough and abraded,
or various portions are reddened, or covered
with minute elevations, or again it is pale.
Where there has been bloody, scentless diarrh(ea, (see 2d stage, sections 11, 12,) the




HOM{EOPATHICALLY TREATED.

33

small intestines are very much reddened in
many places; and when the stools have
been cadaverous, the large intestines present the same appearances. 3. Among the
serous membranes the arachnoidcan contains
three or four times the normal amount of
fluid, especially with the first variety; the
pleural sacks, and the peritoneum, are dry;
the pericardium is externally dry, and contains but a very little serum. 4. The blood
vessels are filled with dark, grumous blood,
even all the veins and arteries, and the
more so the nearer they are to the aorta.
5. The brain, spinal cord, and nerves from
the brain, appear frequently firmer than
normal, especially after violent spasms;
the nervous sympatheticus, and its ganglions, are at times darker, and the solar
plexus often redder than.-:ual. 6. The
muscles are tolerably tense, as during life,
not as if paralyzed; the lungs are emphysematous upon the surface, especially where,
as in the third variety, there has been violent anguish; the liver is normal in size,
and full of foul, greasy blood; the spleen
is small and hard; the kidneys are firm
and compact; the bladder is very much
contracted, and wrinkled internally.




84

THE CHOLERA

PROGNOSIS. It is favourable with females
of middle age, and among boys, and where
the evacuations are moderate in frequency
and quantity. Unfavourable, with small
children; with aged persons; with strong
and plethoric men; where there are too
scanty evacuations; where there are pains
like those of labour; where there is swelling
of the glands of the ear, without maturation;
petechiae; when a pulseless condition has
continued for some time; when there is great
coldness and blueness of the surface; or
where there is a predominant affection of the
chest or brain, or bloody diarrhoea; or,
finally, where there is violent thirst, without copious drinking. Under Homceopathic
treatment, from 5 to 12 per cent. die of
those attacked; and under Allopathic, on
the whole, 50 per cent.
THERAPEUTICS.
The precautionary measures to be adopted during the prevalence of Cholera are
few, and easily reduced to practice. A
diet, simple, easily digested, and strongly
nourishing, should be sought; and every article which may exercise a relaxing in



HOMCEOPATHICALLY TREATED.

35

fluence upon the intestinal canal, should
be carefully avoided. Hence fruit, vegetables, and salads, lettuce, onions, pickles, cucumbers, melons, should be entirely abandoned, or used with extreme circumspection. Cathartic medicines are generally
injurious, but, at such times, particularly
dangerous, as being apt to induce a diarrhoea, and thus bring on the disease. The
body should be kept at a warm, comfortable temperature, especially the feet and abdomen, and daily washing of the entire
surface with cold water, is of decided advantage.  Fresh air, and the daily ventilation of sleeping apartments, and those
constantly occupied, cannot be too strongly
insisted upon. Narrow, close dwellings
and locations, and especially where there is
much moisture, should be avoided. To
those in the habit of using stimulus daily,
its entire and sudden abandonment might
prove prejudicial; while others, not so habituated, would be extremely culpable to
use spirituous drinks, under the idea of thus
protecting themselves from the prevailing
influence. Every care should be taken to
prevent taking cold.  With these there




86

THE CHOLERA

should be maintained a quiet, even, and, as
far as possible, a cheerful state of mind, a
freedom from depressing anxiety and fear,
and a quiet trust in Divine Providence.
PROPHYLACTICS.
The prophylactic medical treatment which
has been most extensively employed against
this disease by hommcopathic physicians,
is the use of the Vcralrum and Cuprum.
They are usually given in alternation, a
few drops or pellets of the one, or the other,
alternately every second or third day. Dissolve some pellets of each (third or sixth
attenuation) in a half glass of water, and
given to every member of the family, one
teaspoonful of the fluid in the morning on
rising, alternating the two remedies. It
is stated that Dr. Marrenzcller gave
these medicines to many thousand people
in Vienna during the Cholera, none of
whom fell victims to the disease. Similar
results were gained in Hungary and Poland by other physicians.  According to
Dr. Hering, Sulphur should prove a most
efficient prophylactic for cholera. Wearing a small piece of copper upon the pit
of the stomach was practised by thousands
in Germany during the Cholera, with what




1HOM(EOPATHICALLY TREATED.

37

effect we are not informed; but doubtless
the absorption of copper into the system
from this most sensitive point, would not
be without its influence. It is the general
experience of homceopathic physicians, that,
among those who took the medicines, and
were attacked, the disease showed itself in
its mildest form, while those who had omitted this preventive treatment, were attacked with great violence.
We have purposely omitted the Camphor
in our list of prophylactics, as this remedy,
although one of the most powerful and
penetrating in the Materia Medica, and
filling a space occupied by no other, is far
too evanescent in its action to serve the
purpose of a good protective.
During the course of the prophylactic
treatment, the patient should abstain from
the use of coffee, green tea, vinegar or acids
of any kind, camphor, ardent spirits, port
wine, all aromatics and perfumes, fat pork,
strongly spiced or seasoned food, and the
use of any emetic, cathartic or domestic
medicines. All these interfere to a greater or less degree with the salutary influence of the minute doses of medicines




38

TIHE CHOLERA

employed, and it is of the greatest importance that they be permitted to expend
their action undisturbed.
When a fearful, anxious, apprebheCnSive
state of mind, preVails in a patient, this
circumstance should not be lost sight of in
making out a prophylactive prescription.
The remedies most aippropriatte to this condition are Arscn., Bell., Jachcs., Sccal.,
Stram., VCeratr.
TREATMENT or TriE PRECURSORS.
Where there are present, besides the accompanying anguish of thel. precorldia, and
great fear, anxiety, &c., cramps in the
calves of the legs, &c., Camphor.
When there is aching and burning in the
precordia: Acid. phos., Arscni., Phos., T'crat.
With rumbling in the abdomen: Acid.
phos., Phos., Verat.
With diarrhowa: Acid. phos., Arsen., Ipecac., Phos., Secal., Sulph., Vcrat.
WVith predominant confusion of the head:
Stram.
FIRST STAGE OF CHOLERA, OR CIIOLERINA.
Before the appearance of the developed
Cholera, in some cases many days, in




IIOMCEOPATHICALLY TREATED.

39

others only a few hours, we have a peculiar diarrhcea, the Cholerina. This diarrhcca in the beginning is feculent, but soon
becomes watery, greenish, often mixed
with white slime. There is also confusion
of the head; rumbling in the abdomen; aching at the precordia; thirst for water, and
pale face. It is of the utmost importance
that these symptoms should be cut off at
once, as, unless cured, the developed Cholera in the second or third stage is sure to
come on. Such appearances should be
sufficient at once to confine the patient to
his room, and demand the prompt exhibition of the proper remedies.
Phos. acid is the specific remedy in this
form of the disease, especially if the diarrhoea be painless and accompanied by
borborigmy, and rarely fails in a short time
to arrest its farther progress. A few pellets
or drops of the third, sixth or ninth attenuation dissolved in water, of which a teaspoonful may be given according to circumstances, every one, two, or three hours,
diminishing the frequency of the dose with
the progress of the improvement.
Should these symptoms be accompanied




40

THE CHOLERA

by remarkable coldness of the extremities,
or the diarrhoea accompanied with pain,
a dose of Veratrum would be preferable.
If such a condition should have been
induced by overloading the stomach, the
use of heavy indigestible food, &c., especially if we have reason to suspect that the
offending matter remains yet undigested,
Ipecac. would be appropriate; and evacuating the stomach by means of a cup of
coffee without sugar or milk, might under
such circumstances be necessary.
During the treatment, the thirst may be
allayed from time to time, by giving small
portions (sips) of fresh cold water, or ice
water, and enemas of cold water or starch
water may be exhibited with advantage,
should the exigencies of the case require
them.
SECOND STAGE: CHOLERA EXQUISITA. During
this stage it should be borne in mind that
quietness, repose of body, is of the highest
possible importance. Every movement of
the patient, either active or passive, directly
tends to increase the morbid phenomenon,
the anguish, the prostration, the cramps
and the evacuations; hence, though not al



HOMCEOPATHICALLY TREATED.

41

ways possible, yet it is in the highest degree desirable to produce this quietness.
The patient should be kept in bed, and
well and sufficiently covered, and use for
his evacuations a bed-pan under the cover;
or if obliged to use a close stool by the bed
side, the room should be warmed, and the
circumstance considered as prejudical.
For food, nothing should be allowed but
unspiced meat broth, and of these the mutton is the best, next that of chicken. For
drink, cold water, or even iced water, and of
this in most cases the patient may drink a
full supply; and should it not be desirable
to use the water so profusely, the same end
may be obtained by keeping small portions
of ice from time to time in the mouth and
swallowing them. The ice is not only extremely grateful to the patient, but exercises a specific influence upon the vomiting,
the constantly recurring cramps, and the
inextinguishable thirst. It is a favourable
indication for patients to drink largely of
cold water.
When this stage is ushered in with: violent and profuse cvacuations of rice water
like fluid, upward and downward; great an



42

THE CHOLERA

guish and oppression of the chest; distorted
and painful expression of the countenance;
icy coldness of the extremities; a pale and
cold or bluish face; extreme thirst for cold
water and profuse drinking, and longing after icy-cold or acid drinks; cramps in the
calves of the legs, fingers and toes; violent
pains in the abdomen; pressure in the precordia; cold, lifeless, bluish skin covered
with clammy sweat; hoarse, feeble voice;
coldness of the mouth and tongue; weak,
small and diminishing pulse, and great
weakness, VERATRUM ALB. is the specific
remedy. A few drops or pellets of the third
or sixth attenuation, dissolved in water,
and a teaspoonful of the solution, may be
given every fifteen, twenty or thirty minutes, according to circumstances. During
the present epidemic of cholera in Europe,
the Veratrum has fully and even more than
sustained its former reputation. And while
some remedies, as the sequel will show,
have declined in estimation and value,
owing to a change in the phaze of the disease, the worth and influence of this has
been rising.
In close proximity to the Veratrum, and




HOM(EOPATHICALLY TREATED.

43

exceedingly analogous to it in action, we
have the Arsenicum. The indications for
its employment are the following: rice water evacuations upward and downward,
either mixed or not with whitish albuminous flocks; great and sudden prostration of
strength; sinking, very feeble or wanting
pulse; painful oppression of the chest and
difficult respiration; coldness of the extremities and surface, while the patient
complains of terrible heat and burning in
the precordia, stomach and abdomen; extreme thirst, yet the patient drinking but
little at a time; constantly increasing restlessness, and fearful, deathly anguish, tossing hither and thither, and throwing off
the bed-clothes; staring eyes; expression
of anguish in the face; dry skin; almost
lost or very hoarse voice, &c. Should the
Veratrum not produce the desired amelioration in a comparatively short time, we shall
do well to interpose the Arsenicum, especially if the sudden prostration of strength,
collapse of pulse, burning pains and anguish,
slight evacuations, restlessness and drinking
but little at a time, be present.
Jatropha curcas. Symptoms for its use




44

THE CHOLERA

are: Fearful vomiting of profuse masses
of watery or white of egg-like fluid, pouring from the mouth like a fountain, with
spasmodic constrictive pains in the region
of the stomach, or-also with burning in the
stomach; continued gushing out of water
from the anus; cramps in the calves of the
legs; general coldness of the entire body,
&c. The Jatropha, according to Dr. Karl
Hencke, whose valuable communication
will be found at the close, is appropriate
and very efficacious where Veratrum is indicated, and yet remains without effect.
Where the lowest attenuations, as for instance under the fourth, are used in many
and repeated doses, it commonly produces,
after the removal of the characteristic appearances, a threatening congestion to the
head; which should be borne in mind in its
administration.
As the Jatropha, c. is unquestionably
one of our most valuable remedies in the
cholera, and as we have but a very meagre
proving of it at best, we will insert from
Noack & Trinks' Manual so much of the
pathogenesis as relates to this subject.
Among its symptoms we find: spasmodic




IIOMCEOPATHICALLY TREATED.

45

appearances; convulsions; sinking and
great loss of strength; great lassitude and
drowsiness; feeling of acridity in the
throat, by degrees increasing to great violence, extending over the stomach and finally producing vomiting; loathing, nausea, disagreeable feeling of burning in the
stomach and esophagus; violent vomiting
and purging, with congestion of blood to
the head; anguishing burning in the stomach; very easy vomiting of matter like
the white of eggs in large quantities, with
forcible and violent discharges by stool, accompanied with anguish, coldness of the
body, clammy sweat, and violent spasmodic
pains in the legs, and stiff, rigid cramps of
the calves.'- Violent, excessive evacuations,
upwards and downwards, with entire exhaustion, spasmodic affections, and death.
Slight pinchings in the abdomen; increased discharges by stool. In the morning, strong urging as to a diarrhoea stool,
followed by violent burning in the rectum.
Often, especially in females and persons
of a weak, irritable temperament, the Cholera takes a form which from the predo* From having eaten the seeds, and after the removal of
the poison from the stomach.




46

THE CHOLERA

minance of the cramps may be termed the
SPASMODIC. Here, in addition to all the peculiarities of the fully-developed Asiatic
Cholera, we have: cramps and spasms of
the calves of the legs, the fingers, toes, and
hands; painful spasms of the abdomen and
arms, and at times, clenching of the teeth,
and even general spasms of the whole
body. There is aching in the precordia,
and the abdomen is extremely sensitive to
pressure. In general with this form, the
evacuations are less copious, but the spasms
are the more painful and dangerous. Cuprum metal, finds here its appropriate sphere
of action, and may be exhibited in frequently-repeated doses, alone or in alternation with another remedy. With this form
there is less intense thirst for cold drinks,
but more longing for mild warm fluids.
This desire may be gratified by giving the
patient small portions of toast or barleywater, or even weak mutton broth. Compare Sccal.
Another, and during the first invasion of
the cholera, and while the disease was
upon the increase, a not unfrequent form,
was what may be termed the PARALYTIC.




IOM(EOPATHICALLY TREATED.

47

This form, from the communication of Dr.
Hencke, appears to be very prevalent and
very fatal at the present time in Europe.
Often within the space of half an hour from
the first attack, and not unfrequently as a
termination of one of the other forms or
stages, we find the following condition:
The body becomes icy cold and blue, and in
some eases there is cold sweat upon the
upper portions of the body and face; there
is vertigo; fainting weakness; qualmishness and nausea; pressure and constrictive
pain in the prccordia; retching, perhaps
even vomiting; little or none of the characteristic evacuations, but on the contrary, a
constant inclination and urging to stcol;
icy-cold breath; cranl)ps in the calves of
the legs; face, and lips blue, with an expression of anguish; sinking and even entire loss of pulse; sudden sinking of
strength, even falling down and inability
to stand; hopeless dejection and anguish
as if he would suffocate; half benumbed
and insensible, the patient moans and cries
in a hoarse hollow tone, and when interrogated, tells of terrible burning in the stomach and throat, and cramping pains in the




THE CHOLERA

muscles and calves, and screams out on
being touched in the precordia. There is,
as a rule, no thirst, no nausea, no vomiting or
diarrhcea, or these are exceedingly scanty
and rare.
When this condition is present, whether
the patient be stricken down at once, or it
follow as the termination of one of the
other stages, Camphor is the remedy. Every
three or five minutes, two or three drops of
strong spirits of Camphor should be given
the patient, either on small bits of sugar, or
mixed in a teaspoonful of water, and put
into the icy-cold mouth.
Meantime small portions of ice, and iced
water, should be given internally at quickly
repeated intervals, and the pit of the stomach, the abdomen, armpits and extremities, should be briskly rubbed with camphor
held in the hollow of the hand.
A writer in an excellent little treatise before me, entitled: Treatment of the Cholera with ice, by Dr. George Huseman, of
Wiirzburg, Germany, recommends not only
the internal but also the external application of ice as a remedy in this disease.
During this stage of collapse, the soles of




HOM(EOPATHICALLY TREATED.

49

the feet and lower extremities to the knees,
and the arms from the shoulder to the
hands, on the inner surface along the
course of the large vessels, are to be briskly rubbed with pieces of ice three or four
inches in length. After rubbing them half
a minute or a minute, the limb is instantly
to be wiped dry and thickly covered with
well-warmed clothes, so as to promote the
return of warmth and vitality. This operation may be repeated once in half an
hour or hour, according to circumstances,
in conjunction with the other remedies, until
some degree of warmth and consciousness
are restored, or until, what is not unfrequently the case, the first phase or stage of
the disease is again established. Should
the jaws be spasmodically closed so that
the Camphor cannot be given by mouth, it
may be sufficiently administered by vapour
by pouring the Camphor into a heated
basin, held so that the vapour will be inhaled; and two teaspoonsful of camphor in
a half pint of warm water may be given as
an injection. These extreme measures will
rarely become necessary, but we give them
for the sake of completeness. The rubbing




50

THE CHOLERA

and kneading of, the extremities with the
warm hands, which should be performedunder the bed covering, is of the greatest
importance, and should by no means be
neglected. When some degree of warmth
and the characteristic evacuations are established, the Camphor is nolonger serviceable,
and should be omitted, the room aired so as
to expel the vapour of Camphor, and the
Veratrum, Arsenicum, or other remedies,
will again come in play.
Should an AsrPJYCTJC condition have become established, as a termination of one
of the preceding stages, the condition of
the patient should not be considered as
altogether hopeless. Here the body of the
patient is mostly cold, blue, the face cyanotic, with visibly increasing blueness;
the discharges upwards and downwards
either entirely suppressed, or discharged
suddenly and without consciousness; entire
pulselessness at the wrist, and scarcely
perceptible strokes of the heart; slow,
groaning, difficult, and icy-cold respiration;
spasmodic rigidity of the muscles, and frequently spasm of the jaw. The majority
of such patients are lost. Carb. Veg., in




HIOMCEOPATIHICALLY TREATED.

homceopathic hands, has often restored to
life. It may be given in the higher (18th,
24th, 30th) attenuation, and frequently repeated. Lobethal says once in five minutes,? (a few pellets,) in conjunction with
the rubbing and blrushing of the body, and
use of ice, as above remarked.  Should
the use of the Carbo Vg. not produce the
desired amelioration, we should have recourse to the KIali lHydrocianicum, or also
the Acidum Hydrocianicinm. These may
possibly yet meet the exigencies of the
case, and recall the waning spark.
Secale Corn utum. Indication for its employment, according to Dr. Hiencke, are:
Very profuse exhausting discharges by
stool; violent painful cramps in the feet
or toes, hands and fingers, which are often
spread apart and drawn backward towards
the wrist; spasmodic pressure in the stomach; wrinkled, shrunken, cold skin; cyanotic colour, etc. This species of cramps,
when they remain after the removal of'
many other appearances by other remedies, or when they come on from the first,
are sure indications for its use, and will
speedily be removed by the smallest doses
of this remedy.




52

THE CHOLERA

Very generally, with the disappearance
of the usual Cholera discharges, and with
the return of the normal temperature of the
skin, after some hours the secretion of the
kidneys, which during the course of the disease had been entirely suppressed. is again
roused into activity.  The discharge of
urine is generally accompanied by a very
sensible urging and pressure, which not
unfrequently increases to a considerable
pain, and extends not only through the
urethra, but over the entire abdomen.
This painful urination and urging, acting
upon the depressed and irritable system,
may not only excite great inconvenience,
but even involve the patient in imminent
danger: Cantharis, a few pellets dissolved
in water, of which a spoonful may be
taken every hour or more seldom, is the
appropriate remedy. But the efficacy of
this remedy, according to Dr. Lobethal,
extends yet farther.  When during the
convalescence in the reaction of the circulation, there is connected a considerable
congestion to the vascular system of the
abdomen, so that an inflammatory action
is to be feared, Cantharis is the proper




HOMCEOPATHICALLY TREATED.

53

remedy; it is- also very efficacious in diarrhoeas remaining after Cholera.
With respect to the secondary diseases
of Cholera, but little can be said. They
will most usually be found to take the form
of the particular chronic weakness or infirmity to which the patient was constitutionally predisposed before his attack.Hence they may assume almost any form,
and their successful treatment may demand
a great range of remedies, each individual
case being decided by the similarity of the
pathogenesis of the remedy, and the peculiarities of the case. But we may however
remark, that when a case of Cholera seems
to degenerate into a species of typhus, the
remedies to be exhibited in accordance
with the symptoms are: Acid. Phos., Rhus,
Bry., Bell., Carbo Veg., Opium, Phos., Arsen.,
and also others.
General debility, such as appears after
great loss of fluids, and is an almost universal sequel of Cholera, is best met by
China.
Weakness of the intestinal canal, characterized by continual liquid stools, without
pain, and with attending debility, are re5*




54

THE CHOLERA

moved most certainly by Tinct. Sulph.,
Phosphorus, Acid. Phos., and Secale.
During the period of convalescence, patients must for Ia considerable period, at
least for two weeks, use the utmost precaution in regard to diet. The same rule
is also applicable to those recovering from
an attack of Cholerina, as experience
shows that a relapse may very easily take
place, which is always more dangerous
than the original attack. There usually
remains, for a considerable period, great
weakness of the intestinal canal, which
shows a decided irritability to the action
of any cathartic or laxative medicines.
These should be especially avoided. The
diet should be mild, simple, easily digested,
and nourishing. The use of fruit, acids,
green vegetables, spirituous drinks, or
heavy indigestible food, are to be carefully
guarded against, and every precaution employed to prevent taking cold.
We give now, under seventeen different
heads, corresponding to all the important
symptoms of the Cholera, a repertory of
the various medicines which may come
into employment in the treatment of this




HOM(EOPATHICALLY TREATED.

55

disease; distinguishing, as far as may be,
the comparative value of each symptom,
by the type employed.
1. ANGUISH in the chest, deathly anguish:
ARSEN.,* Camph., CUPRUM, Ipecac., Secal.,
VERAT., Aa. FRLm.,t Acid. phos., JATROPHA.,
Carb. veg., Acon., BELL., Bry., Cicut.,
Phos., Rius., Stram., Natrum tmur.
2. INDIFFERENCE: ARSEN., Ipecac., Secal., Verat., ACID. riPs., PNos., Bell., Lauroc., Ci-.
cut., Strarn., N'trum mur.
3. SPAsMI.-Tonic:      Ars.,  Camph., Cuprum, IPECAC., SECAL., VERAT., Aa.
FlRU., Acid. phos., Jatrophca, Phos., Acon.,
BELL., Lauroc., Bry., CICUT., Rhus, Stram.
4. SPASMS-Clonic: ARSEN., CAMPH., CUPR.
IPECAC., SECAL., Vcrat., Acid. phos., Carb.
veg., Acon., Laur., Phos., BELL., Bry.,
CICUT., STRAM., Nat. mur.
* Camphor is of no farther use after the usual evacuations, especially the stools, have become established.
Nor should persons who carry it with them be continually
chewing and smelling it. They may easily bring on a
Camphor Cholera.
t The Aqua Frigida, or icy-cold water, referred to in
the above table, is taken from Nusser's article; and by it
we are to understand the internal application of icy-cold
water as drink, and also its occasional use as a clyster for
the purpose of moderating the cramps.




56

THIE CHOLERA

5. PULSE; soft, small,frequent: ARS.,Camnph.,
CUPRUM, Ipecac., SECAL., VERAT., AQ.
FRIG., Acid. phos., Phos., CARB. VEG.,
Acon., Bell., Cicat., Stram., Rhus., Natrum mur.
6. SKIN, inelastic, cold, blue: ARs., Camph.,
Cuprum, Ipecac., Secal., VERATR., AQ.
FRIG., Jatropha, Rhus, Carb. veg., NAT.
Mun.
7. FACIES CHOLERICA: ARSEN., CAMPH.,
CUPRUM, Ipecac., SEcAL., VERAT., Aq.frqig.,
Acid. phos., Phos., Carb. Veg., Lauroc.,
Acon., Rhus, Stram.
8. TONGUE, COld, dry, blue: ARs., Camph.,
Secal., Lauroc., Natr. Mur.
9. ACHING. Pressure in the pericordia: ARS.,
Camph., CUPRUM, Secal., VERATR. Aq. frtig.,
Acid. Phos., Jatropha, Phos., Carb. veg.,
Acon., Bell., Rihus., Stram., Natr. mur.
10. THIRST. Violent, extreme: ARSEN.,
Camph., Cuprum, Ipecac., SECAL., VERATR., Aq. frig., Phos., Lauroc., Acon.,
Bell., Bry., Cicut., Rhus, Stram., Natrum
mur.
11. EVACUATIONS. Serous with white flocks,
by vomiting: ARS., Camph., CUPR., IPECAC.,
SECAL., VERATRUM, Aq. frig., JATROPHA, Acon., Bry., Natrum mur.




HOMWEOPATIHICALLY TREATED.

57

12. EVACUATIONS. Serous with white flocks,
by stool: ARS., Cnmph., Cupr., IPECAC.,
Seccal.,VERATR., JATROPIHA, Acon., Rhus,
Bry., Natrum mur.
13. SUPPRESSION OF SECRETIONS. Urie, saliva,
perspiration, etc.: ARS., Canmph., Cupr.,
Ipecac., SECAL., XERATR., Aq. frig., Carb.
veg., Lauroc., Bell., Cicut., IRhus., Stram.
14. COLD BREATH: Ars., Camph.. Veratr.,
Aq. frig., CARR. VEG., Cicut., Rhus.
15. VOIcE, loTarsC, rouogh: Ars., Camph.,
Cuprum, Veratr., Aq. frig., Acid. phos.,
PNos., Carb. Veg., Lauroc., Bell., Bry.,
Cicut., Rhus., Natrum mur.
16. AGGRAVATION after midnight and towards morning: ARS., Camphb., CUPRUM,
Ipecac., Secal., Veratr., Acid. phos., Phos.,
Carb. Veg., Aeon., Bell., RHUS., Stram.,
Natrum mur.
17. Amelioration from rest: Ars., Camph.,
CUPRUM, IPECAC., Secal., Veratr., Carb.
veg., Acon., BELL., Bry., Cicut., Stram.




THE CHOLERA

We insert the following article, found in
the "Allgemeine HIomceop. Zeitung" of October, from the pen of Dr. Karl Hencke,
which is important in many respects. First
as exhibiting the variety of phase which the
Cholera has assumed in its last visitation, and
as a test of the value of the old remedies and
as revealing some comparatively new ones,
and finally as containing the latest intelligence upon the subject.
THE CHOLERIA EPIDEMIC IN RIGA.
BY Da. KARL  E INCKE.
After many weeks, during which the
greater portion of the inhabitants experienced a certain uncomfortableness of body,.
rumbling and borborigmy in the abdomen,
and an inclination to diarrhaa; and after
having had frequent cases of Cholerina,
with here and there an occasional case of
Cholera, the discase may be said to have
broken out suddenly on the 25th of June,
1848, at which time several cases appeared
in different parts of the city, whose death
was made known after a few hours.
In the first period of the epidemic,
the Cholera especially assumed the spasmodic form: the patients were suddenly
attacked with cold shivering, even coldness




IOMCEOPATHICALLY TREATED.

in the back, after which there came on in
rapid succession: fainting weakness, qualmishness, vertigo, nausea, pressure or constricting pain in the precordia, rotchng, vomiting, cramp in the calves of the legs,
principally tonic cramps, (convulsions I have
never observed,) vanishing of the vital heat,
hence the hands and the whole body became cold, sinking of the pulse into entire.
pulselessness, lips become blue, expression
of anguish in the countenance. &c., and
sometires also diarrhma.  If the most
speedy and appropriate aid was noL afforded, the patient died within a few hours
of sudden paralysis. At this period not a
few died of apoplexy.
Camphor is, in this form of the Cholera,
a true specific.
The patient was immediately brought to
his bed, and well and sufficiently covered,
and perhaps heated bricks applied to him,
strong spirits of camphor, in drop doses,
upon sugar, or in sugar water, or some tea,
was given at intervals of 5 minutes, until
the vital warmth returned and sweat made
its appearance; and then the patient must
remain quiet and be unmolested, if he should
"remain in such condition even two or three
days. The muscles attacked with cramp
were rubbed or kneaded with the warm
hands under the covering.  During the




THE CHOLERA

sweating, as often as the cramp returned,
we gave one drop of the spirits of Camphor.
We* have found it~ advantageous, with
every new dose of Camphor, to ascend to
a higher number in the scale of attenuation.
In November, the previous year, 1847,
through our advice and instruction for the
treatment of this disease, many persons carried the Camphor upon their persons; and
upon the first symptoms of an attack, such
as: vertigo, pressure at the stomach, with or
without gagging or retching, cramps in the
calves of the legs, 4'c., immediately employed
it by smelling, and internally upon sugar,
with such distinguished success both upon
themselves and others, that the patient was
soon covered with sweat, and the farther
progress of the disease arrested.
But the Cholera soon showed itself in
another form. It came on often from the
neglected or inappropriate treatment of the
spasmodic Cholera, often from a slight,
painless, and hence neglected diarrhcea of
one or two days' standing; seldom as a termination of the Cholerina, but far more frequently it appeared of itself, independent of
precursors. Apparently sound healthy men
were suddenly, and most frequently at
* The homoeopathic physicians of Riga, Dr. Brutzer,
Dr. Semble, Dr. Riedel and Dr. Hencke.




HOM(EOPATH1CALLY TREATED.

G1

night during sleep, or in the morning soon
after rising, attacked with violent pressure
or cramp in the stomach; the face assumed
a peculiar expression, full of anguish, with
fainting weakness, and two or three painless watery stools were passed in rapid succession. Very soon, often within half an
hour or hour, the pressure of the stomach
increased, nausea and qualmishness came
on, the hands became cold, the warmth of
the body disappeared, very painful tonic
cramps set in, Iirst in the calves, and soon
in the other muscles, the abdomen, chest
and back, yet more frequently however in
the lower and upper extremities; retching
and vomiting, which was always frequent
and copious, so that immense masses of fluid
like cucumber water were thrown from the
mouth. The watery stools were discharged
forcibly and in rapid succession, and the
abdomen so caved in that the ribs were
strongly protruded.
After a few hours, the patient could no
longer maintain an upright position, the
muscles became relaxed, soft, and doughy
upon feeling them; the surface drew up
into spasmodic knots here and there, which
were very painful; the feet were often
drawn sideways, the toes retracted; the
fingers often pressed widely asunder, or
bent back towards the wrist; the tempera6




THE CHOLERA

ture of the skin was cold, the hands and
face icy cold; the tongue was cold, broad,
heavy. and often blue; the breath cold, the
speech thick, indistinct, hoarse the countenance fallen in, contracted, the eyes sunken
and surrounded with dark blue circles;
cheeks and lips blue; hands and arms almost dark blue, so that the patient appearTd like one affected with cyanosis; the
skin of the hands, finiwers, and toes became
contracted ant, shrivelled up, a..1d elsewhere
formed into folds; eniire pulselessness at
the wrist,the pulsations of the heart scarcely
perceptible to the cai, only  slight throbbing discernible at thlle ) precodia; the pit of
the stomach, painful upon1 1xternal pressure. The vomit-ing was not copious, but
yet frequent.; the fluid discharged was water
with whitish flocks, olten like s;mall pieces
of tallow, at timnes only pure water; the
stools were frequent, ofitenl involuntary and
not remarklied by the patient, although he
retained entire consciousness; the discharges becaice more like rice water, and
were either scentless or cadaverous, or
smelling like stagnant water. Inextinguishable thirst, internal heat with objective
coldness of the body, inquietude, anguish,
tossing hither and thither, with cold clammy sweat. The cramps and evacuations
by degrees abate, only small involuntary




IIOM(EOPATHICALLY TREATED.

63

stools pass off; the coldness, blueness and
pulselessness increase, and death takes
place mostly from paralysis of the lungs,
within 4, 6, 12 to 24 hours.
All Cholera patients complained of pains
in the loins; hardness of hearing was very
general; burning in the stomach was more
seldom complained of than pressure and
spasmodic pain; bile and bilious matter
was wanting in all the secretions; and later
when it became apparent in the stools, and
matter vomited, it woas by no means a sure
indication of returning convalescence; the
secretion of urine was entirely suppressed,
and often there was painful urinary tenesmus without any discharge; pains in the
abdomen, or great sensibility of the abdomen, (excepting the precordia,) was never
present in the Cholera, though perhaps
often present in the Cholerina; the sweat
is critical and important in the spasmodic
Cholera, and even also in the beginning of
the second, I may say cyanotic form; but it
is never of consequence in the farther extension of the progress of the disease, and
even injurious from exhausting the strength,
and we have seen patients restored without any appearance of sweat. Patients
with whom there is no vomiting, or only
retching, with a few slight discharges of
watery fluid, are, prognostically, more un



THE CHOLERA

favourable than where there is tenesmus
with very slight discharges. Patients with
vomiting of copious masses of water, have
a more favourable prognosis, than where
the diarrhea predominates. Patients, who
with the commencing return of vital heat
are very unquiet, and continually turn and
twist about, seldom recover. Those patients who relapse during convalescence,
and those who have recovered, and after
some days are again attacked with the
Cholera, die almost without exception.
Drunkards and tipplers, when they have
lived through the first attack of Cholera,
die in the stage of convalescence with typhus
affections of the brain. Patients with affections of the chest, after having the Cholera, find very commonly a tuberculous disease developed which proves fatal. Men
who have lived in the practice of excessive
venery, having lived through the Cholera,
do not easily recover, but.die slowly but
not less surely of exhaustion, generally remaining free from diarrhmic discharges.
The Cholera attacks persons from all
ranks, of every sex, of every age; childhood
and old age remain no longer exempt, and
pregnancy affords no protection; yet coarse
errors in diet, gluttony, drunkenness, neglected diarrhea, chills, fear, grief, fright,
and above all, passion, prove the etiological




I-OMCEOPATHICALLY TREATED.

or exciting causes of the attack. The use
of champagne has proved very prejudicial,
as well as all kinds of fermenting liquors
or beer, fruit, cucumbers, melons, &c.*
During convalescence there is often a
great longing after beer, acid food, &c.,
which may be allowed in moderation, and
is indeed sometimes demanded.
The most important remedies in. this epidemic of Cholera were: Camphor, Secal.,
Veratrum, Arsenicum. Instead of the Laurocerasus we find   more indications for
Acidum   Ilydrocyanicum   or Kali Hydrocyanicum.
Jatropha curcas has been sufficiently
proved among us, as a, very important and
surely acting remedy against the Cholera.
To give the indications for the well
known Cholera remedies appears to us almost superfluous, yet we will in a few
words give those which have been our
guides in practice. Here follow the indications for Jatropha, Veratrum, Arsenicum
and Secal., which do not differ from those
which we have given.
Kali Hydrocianicum, also Acid. Hlydroci" In a family of 7 persons, who partook of a supper of
sour milk and very imprudently ate with it cucumbers,
all nearly died during the same night; 5 were brought to
the hospital in the morning yet living, but died in a few
hours, and the other two had died before the morning
dawned.
6*




THE CHOLERA

anicum: With entire pulselessness, scarcely
audible beatings of the heart, slow, groaning, difficult respirition; coldness of the
body; constantly, visibly-increasing blueness of the face, rigidity of the muscles,
spasm of the jaws, with which the vomiting
disappears, the stools are discharged involuntarily, etc.; with such symptoms these remedies, and they are almost alone, yet effect
something. In two similar cases, but where
the spasms yet prevailed and affected the
abdominal muscles, I found more help from
Plumb. aceticum, of which remedy I might
make some remarks.
CAMPHOR SPIRITS. This remedy has proved a
true specific in the so-called spasmodic chole- *
ra; in the cholera vertigo; and cholera cramp
of the stomach; with and without retching
and vomiting, and even in the beginning of
every form of the cholera; as long as the
spasmodic symptoms predominate, (provided the characteristic copious discharges,
especially by stool, have not yet come on,)
the body is cold, also perhaps pulselessness
is present, but the cyanotic condition yet
not far advanced. In cases where much
medicine or numerous things have been
given, we shall do well to give our doses of
camphor in rapid succession.
Had Hahnemann, the venerable master
of our art, made known nothing farther




HOM(EOPATHICALLY TREATED.

67

than this, the remedy which at the commencement of the attack of cholera so surely afords
help, he would have deserved the lasting
gratitude of the whole human family. For
how much besides this has our race, and
the medical profession, yet to thank him!
Would it not be well for those physicians
who so willingly sit in judgment upon the
trifling weaknesses of our great master,
to take this to heart?
For Cuprum metalicum and aceticum, I, at
least in this epidemic, have found but few
indications; and where I have essayed it,
have seen no action.
Acidum phosphorus is preferable to the
Phos., in the secondary diseases of the cholera, and in the cholerina, where there are
watery discharges with rumbling and borborigmy in the abdomen, pain in the navel
region, audible rumbling in the abdomen
upon pressing the hand upon the heart, and
stitches in the left side of the chest, &c.
Ferrum aceticum, with painless diarrhoea,
coming on a short time after the use of
food or drink. In similar cases but with
colic pains, Colocynth answers; at times
also Veratrum.
Rhus tox. In the typhus condition with
dry tongue, brownish, often involuntary
stools, especially during the night.
It is self-evident that the numerous forms




THE CHOLERA

of secondary diseases require yet many
other remedies than those named above.
With reference to the dose, and the administration of the remedy, I can say nothing farther, than that we have found it
appropriate to give the indicated remedy
in a quantity of water, a teaspoonful at a
time, and also in divided doses. If the same
remedy must be repeated, we give the remedy at every repetition a number higher,
and with better success than when we continue at the same dilution.
The high potences I have employed in
two cases, certainly with the most distinguished success: after the first storm passed
over, the vital warmth again returned. I
had not the courage to bring them into employment from the commencement, although, from extensive experience, I can
bear witness that the sure and remarkable
action of the high potences is no idle fancy
of the brain. Those physicians who, without careful proving of this least interesting
observation, that the medicinal powers of a
drug once brought into action, like the
magnet, never cease to be efficacious, and
yet ridicule and smile at high potences, do
but condemn themselves and move into the
position of those physicians who condemn homoeopathy without having tested it.




HOMCEOPATHICALLY TREATED.

69

The cholera is with us visibly on the decline, but by no means yet gone. Other diseases, for instance, intermitting fevers, &c.,
which were wholly suppressed by the cholera, are again making their appearance.
Of the contagiousness of the cholera there
can be nothing new said from the experience gained in this epidemic; it is by no
means proved.
Riga, August 26, 1848.
Da. HENCKE.
SHORT NOTICE OF THE CHOLERA
IN PETERSBURGH, RUSSIA.
Taken from several letters from physicians and laymen
addressed to Dr. Griesselich.
The number of victims daily of the cholera is very great, and is given in the letters at various amounts, according to their
different dates; the sum would be yet far
greater, if the number of those who had
fled from the city were not so large. The
writers all concur in this, that Veratrum
has proved the most essential remedy; all
the others avail less, even little or nothing,
ias for instance, the Ipecac. and Camphor;
some of the writers mention the Tabac. and
Jatropha; Arsenic is especially praised by




70

THE CHOLERA

none. The Veratrum has ga'ined itself such
renown, that the allmeopathic physicians
and apothecaries ai e "half crazed," (this is
the term used in one of the letters), and
come running to the homoeopathic apothecaries to obtain this remedy. The allopathic practice has been wholly unsuccessful, and their most distinguished remedies
are quite unavailing, yet many writers
among them praise "strong rubbing."
Acidum phosphoricum, (and in this all
concur,) affords excellent service in the
cholerina; the diarrhoea disappears quickly; but upon the appearance of vomiting it
is of no farther use. This cholera diarrhoea,
according to every writer, must at once be
subdued.
It should be borne in mind, that the cholera, in different epidemics, and at different
localities during the same epidemic, usually
manifests material varieties in its phase of
character. Hence we find practitioners in
one locality praising some remedies, and
omitting, or even detracting others; while
those in another locality will entertain
quite different views of the comparative value of remedies, based upon their experience.
The key of this diversity of opinion is to be
found in the variety of phase exhibited by
the disease, and the from thence greater in



HOM(EOPATHICALLY TREATED.

dication for, and adaptation to, the one remedy rather than another. The want of
efficacy in the action of a medicine is more
from a lack of adaptation to the phase of
disease for which it is selected, than from a
want of intrinsic value in the remedy itself.
It' the cholera shall visit our country, ol
which there is now a very great probability, it is not at all probable that it will retai.n the same form or iianifiesit the same
phase of symptoms s as upon its previous visit, or even as it now exhibils in Europe.
Its essentials will be the same, but its
slighter shades, and those which determine
the choice oi' one good cholera, remedy
more than anolher, wVill be varied. HIene
it is only by ref:er(ence to 1ihe pa,.llogoenesis;
of the drug, tha1t we (ea.,  e alway:-ccessfuil. Such a. thing as an absolute specific for cholera, any more than for the,
headache or intermittecnit fe(verr, cannot be
found.
We have given in our list, and short repertory, all the remedies which have been
employed by hommnopathic physicians in
this disease, but it is quite probable that
there are others which may play a secondary or even principal part in its treatment. Dr. Jeanes of Philadelphia is of opinion that Natrum muriaticum is one of the




THE CHOLERA, ETC,

most important medicines for cholera,
This he infers, from  the effect of the
saline cathartics upon the mucous membranes, causing the rapid discharge of
large quantities of serous fluid, extreme
thirst, great dryness of the mouth and
tongue, with prostration of strength, &c.,
and from the effects of a meal of oversalted food.
Dr. Hering is of the opinion that Sulphur is an important remedy, not only as a
prophylactic, but in the treatment of the
disease itself; but as his views are based
upon his observations and opinions, which
we could not offer in detail, we simply content ourselves with mentioning the fact,
and calling the attention of practitioners to that.
We do not offer these suggestions because we entertain doubts as to the efficacy
of the usually employed homoeopathic remedies, for we believe that there is no fact
better established in medical history than
the triumphant treatment of the cholera
with homceopathic medicines. But we offer
them in order to direct the attention of physicians to the necessity of studying the epidemic character and peculiarities of the disease.
THE END.







9.




AV




FUmed by Prervation 199)4




UNIVERSITY OF MICHIGAN
II I  IIIIIIIII
3 9015 02011 7878