CASE OF CHOLERA TREATED BY SULPHUROUS
ACID:?RECOVERY. TO THE EDITOB OP THE "INDIAN MEDICAIi GAZETTE."
Sib,?I send herewith notes of a case of cholera recently treated with sulphurous acid, which I shall feel obliged by your
publishing.
A female aged 30, the wife of a sepoy in the 12th Eegiment, N. I., wa3 attacked with cholera on the 1st May at 10 a.m. She was to all appearance well up to 10 a.m. but at this hour purging came on, consisting of colourless fluid, and vomiting of undigested food and watery fluid; urine was suppressed. She rapidly passed into a state of collapse, and by 1-15 p.m., was in profound collapse; voiceless; pulseless; skin icy cold and bathed with cold perspiration. Features shrunken ; cramps severe, especially of upper and lower extremities ; great thirst; great restlessness. Sulphur burning was at once commenced in the manner before described by me. At 2-30 p.m. skin was comfortably warm ; pulse fair; clammy
sweat gone; cramps less; no more vomitingj one motion consistof colourless fluid just after sulphur burning was commenced. Voice somewhat husky, but of fair power. She insisted on she was speedily sitting up, but this brought on syncope, and laid down again. 2-45 p.m.?S3*ncope passed off, but there seems a renewed or at least in its effects; temperpower in the choleraic poison, clammy sweat, and pulse ature of skin
ing
3
failing. falling, again p.m.?Worse, skin cold, cold sweat, scarcely any pulse,
THE INDIAN MEDICAL GAZETTE.
166
vomiting clear watery fluid with a few grains of undigested rice ; cramps again stronger. 3-30 p.m.?No improvement. She complained bitterly of the sulphur vapour, and I had the fire removed from the room for about 5 minutes, hut a very rapid decrease in the temperature led me to bring it back again. 4 p.m.?Much the same as at 3-30. 5 PfM,?Skin warm ; again sweat gone; pulse fair. 7 p.Mi?Doing well ; passed a little urine. 4 a.m.?Passed about 8 oz. of urine; doing well; recovery uninterrupted. There was slight irritability of the stomach on 2nd May, for which I gave her dilute hydrocyanic acid, and there was some cough, which was, no doubt, due to the sulphurous fumes, but which was at no time severe, and is now relieved. I am,
Sir,
Tours faithfully, C. E. G.
Surgeon-Major, CuTTACK, 5th May 1877.
12th
Paekee, Regiment,
N. I.
[June
1, 1877-
ACID:?RECOVERY. TO THE EDITOB OP THE "INDIAN MEDICAIi GAZETTE."
Sib,?I send herewith notes of a case of cholera recently treated with sulphurous acid, which I shall feel obliged by your
publishing.
A female aged 30, the wife of a sepoy in the 12th Eegiment, N. I., wa3 attacked with cholera on the 1st May at 10 a.m. She was to all appearance well up to 10 a.m. but at this hour purging came on, consisting of colourless fluid, and vomiting of undigested food and watery fluid; urine was suppressed. She rapidly passed into a state of collapse, and by 1-15 p.m., was in profound collapse; voiceless; pulseless; skin icy cold and bathed with cold perspiration. Features shrunken ; cramps severe, especially of upper and lower extremities ; great thirst; great restlessness. Sulphur burning was at once commenced in the manner before described by me. At 2-30 p.m. skin was comfortably warm ; pulse fair; clammy
sweat gone; cramps less; no more vomitingj one motion consistof colourless fluid just after sulphur burning was commenced. Voice somewhat husky, but of fair power. She insisted on she was speedily sitting up, but this brought on syncope, and laid down again. 2-45 p.m.?S3*ncope passed off, but there seems a renewed or at least in its effects; temperpower in the choleraic poison, clammy sweat, and pulse ature of skin
ing
3
failing. falling, again p.m.?Worse, skin cold, cold sweat, scarcely any pulse,
THE INDIAN MEDICAL GAZETTE.
166
vomiting clear watery fluid with a few grains of undigested rice ; cramps again stronger. 3-30 p.m.?No improvement. She complained bitterly of the sulphur vapour, and I had the fire removed from the room for about 5 minutes, hut a very rapid decrease in the temperature led me to bring it back again. 4 p.m.?Much the same as at 3-30. 5 PfM,?Skin warm ; again sweat gone; pulse fair. 7 p.Mi?Doing well ; passed a little urine. 4 a.m.?Passed about 8 oz. of urine; doing well; recovery uninterrupted. There was slight irritability of the stomach on 2nd May, for which I gave her dilute hydrocyanic acid, and there was some cough, which was, no doubt, due to the sulphurous fumes, but which was at no time severe, and is now relieved. I am,
Sir,
Tours faithfully, C. E. G.
Surgeon-Major, CuTTACK, 5th May 1877.
12th
Paekee, Regiment,
N. I.
[June
1, 1877-
