A CASE OF CHOLERA. Under care of G. D. McReddie,
Reported by Assistant'Surgeon
Esq.,
m.d.
IktiJar Udd'.n.
Sheodin, Brahmin, aged 48 years, a military pensio er, was admitted into the Partabgarh Dispensary on the 14th Oc obcr, 1882, at 1 P.M., in the collapse stage of cholera. He was attacked two days before, and had 40 minims of solution of carbolic acid given him by the Civil Surgeon before his admission into the dispensary. State on admission.?Eyes sunk, lips livid, pulse imperceptible, voice feeble, urine suppressed. 14th October, Treatmetit.?The following solution of carbolic acid was administered in 10 minim doses with water. Carbolic _
giv, watergiss.:
TI^xl),
acid 10 minims glycerine of this was administered every half hour with 1 oz. of water in each dose. 5 p.m.?Between 3 and 5 p.m., he vom'ted four times, and passed one watery stool. Pulse returned at 3 P.M., was barely perceptible, and remained so till the morning of the 15^ October. Solution of carbolic acid injected into
IT^C.
arm
at
TT^XV
3-30 P.M.
Injection repeated
at
hypodermically
5 P.M., and again
at
7 p.m., and at
10 P.M.
jjth October, 7 A.M.?Between 5 P-M. of 14th instant and 6 A.M. of 15th instant, he vomited ten times, and had three watery stools. Carbolic solution continued every half hour from 1 p.m. of October 14th, to 7 A.M. of 15th. Diet, 2 chittacks of dahi. 7 a.m.?Pulse a little stronger, injection repeated 10 minims, solution of carbolic acid given every hour, Passed a few drops of urine at 10 a.m. and again 5 p.m. at 2 p.m.
Between 6 A.M. and 3 P.M., he vomited six times, and had three stools. 10 minims solution of carbolic acid continued every hour till 5 p.m. The patient appeared in a better state. At 5 p.m. on the 15th, carbolic acid was stopped, and solution of phenyle to loz. of water substituted and continued of dahi in 24 hours. every hour to 10 p.m. Diet, four chittacks The patient comibth October, 6 A.M.?Pulse felt stronger. plained that he was very weak, and felt a burning uneasy sensation in the abdomen with thirst and dryness of the throat. 6 a.m.?Phenyle mixture continued three times a day. Passed a few drops of urine at 9 a.m. and again at 5 p.m. 12 and 3 P.M. The patient vomited only once to-day. Purging stopped. Diet, four chittacks of dahi ; phenyle mixture continued till 5 p.m. 17th October, 10 a.m.?Passed urine freely at 8 a.m. All medicines stopped. The patient bathed, and his clothing changed. 18th October, 8 A.M.?Discharged, cured. Remarks.?It will thus be seen that in 29 hours, 500 minims of pure acid of solution of carbolic acid containing were administered internally, and 75 minims of solution of carbolic acid containing 7 minims of pure acid were injected into the arm, making up the total of carbolic acid given, 54 minims. Besides this when urgent symptoms passed off, 8 oz. solution
TT^v
47^
of phenyle, containing 40TT^ of pure phenyle were given internally in 24 hours. Sulphur and strong carbolic acid were used as disinfectants.
Note on Carbolic Acid in Cholera. last I began the use of carbolic acid in the form of pills made with flour : 1 Tf|^ of acid in each pill. The treatment, the results of which I tested by visits to the villages attacked, In August I bereduced the death-rate from 66 to 33 per cent. to the formula in the gan giving the acid in solution according case now submitted by the Assistant Surgeon. The results with the solution have been most encouraging. In one village in which every case attacked had died, out of 22 cases treated only 2 died. In another village, within 5 miles of the Sudder Station, where the disease still prevails, there were cases unaided all died, but out of 19 cases treated, of only 3 deaths. Partabgurh, 21st October, 1S82. In
April
Reported by Assistant'Surgeon
Esq.,
m.d.
IktiJar Udd'.n.
Sheodin, Brahmin, aged 48 years, a military pensio er, was admitted into the Partabgarh Dispensary on the 14th Oc obcr, 1882, at 1 P.M., in the collapse stage of cholera. He was attacked two days before, and had 40 minims of solution of carbolic acid given him by the Civil Surgeon before his admission into the dispensary. State on admission.?Eyes sunk, lips livid, pulse imperceptible, voice feeble, urine suppressed. 14th October, Treatmetit.?The following solution of carbolic acid was administered in 10 minim doses with water. Carbolic _
giv, watergiss.:
TI^xl),
acid 10 minims glycerine of this was administered every half hour with 1 oz. of water in each dose. 5 p.m.?Between 3 and 5 p.m., he vom'ted four times, and passed one watery stool. Pulse returned at 3 P.M., was barely perceptible, and remained so till the morning of the 15^ October. Solution of carbolic acid injected into
IT^C.
arm
at
TT^XV
3-30 P.M.
Injection repeated
at
hypodermically
5 P.M., and again
at
7 p.m., and at
10 P.M.
jjth October, 7 A.M.?Between 5 P-M. of 14th instant and 6 A.M. of 15th instant, he vomited ten times, and had three watery stools. Carbolic solution continued every half hour from 1 p.m. of October 14th, to 7 A.M. of 15th. Diet, 2 chittacks of dahi. 7 a.m.?Pulse a little stronger, injection repeated 10 minims, solution of carbolic acid given every hour, Passed a few drops of urine at 10 a.m. and again 5 p.m. at 2 p.m.
Between 6 A.M. and 3 P.M., he vomited six times, and had three stools. 10 minims solution of carbolic acid continued every hour till 5 p.m. The patient appeared in a better state. At 5 p.m. on the 15th, carbolic acid was stopped, and solution of phenyle to loz. of water substituted and continued of dahi in 24 hours. every hour to 10 p.m. Diet, four chittacks The patient comibth October, 6 A.M.?Pulse felt stronger. plained that he was very weak, and felt a burning uneasy sensation in the abdomen with thirst and dryness of the throat. 6 a.m.?Phenyle mixture continued three times a day. Passed a few drops of urine at 9 a.m. and again at 5 p.m. 12 and 3 P.M. The patient vomited only once to-day. Purging stopped. Diet, four chittacks of dahi ; phenyle mixture continued till 5 p.m. 17th October, 10 a.m.?Passed urine freely at 8 a.m. All medicines stopped. The patient bathed, and his clothing changed. 18th October, 8 A.M.?Discharged, cured. Remarks.?It will thus be seen that in 29 hours, 500 minims of pure acid of solution of carbolic acid containing were administered internally, and 75 minims of solution of carbolic acid containing 7 minims of pure acid were injected into the arm, making up the total of carbolic acid given, 54 minims. Besides this when urgent symptoms passed off, 8 oz. solution
TT^v
47^
of phenyle, containing 40TT^ of pure phenyle were given internally in 24 hours. Sulphur and strong carbolic acid were used as disinfectants.
Note on Carbolic Acid in Cholera. last I began the use of carbolic acid in the form of pills made with flour : 1 Tf|^ of acid in each pill. The treatment, the results of which I tested by visits to the villages attacked, In August I bereduced the death-rate from 66 to 33 per cent. to the formula in the gan giving the acid in solution according case now submitted by the Assistant Surgeon. The results with the solution have been most encouraging. In one village in which every case attacked had died, out of 22 cases treated only 2 died. In another village, within 5 miles of the Sudder Station, where the disease still prevails, there were cases unaided all died, but out of 19 cases treated, of only 3 deaths. Partabgurh, 21st October, 1S82. In
April
