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hitherto seen it very mild, that it Dr. Negri assimilated the cases with may not have exhibited itself in a typhus fever, but with this difference, more severe form to earlier practi that he thought cholera began where tioners; we meet daily with similar typhus ended. modifications in typhus fever; we Dr. Sigmond alluded to one of the have some cases very mild indeed, cases described by Mr. Hooper, which while others are to the full as severe, he averred was not a case of cholera, and yet no one denies it to be the but one of starvation. He had seen same disease.

Cholera is probably the case, and had made numerous an old enemy with a new face. In inquiries into its history, both perregard to contagion, there is not the sonally, and by a pupil of his. His slightest proof of its existence in authority was the person with whom London, and this was the unanimous she cohabited, and he learnt that she opinion of another society. (No, no, had been in a state of starvation for from Mr. Field.) Well, then, not upwards of a week, and had suffered altogether unanimous: those, who from marked symptoms of disease,

contagionists, generally for some time previous. those who have never seen the dis toms which she evinced, were those ease, and will probably change their which had been described by Hippoopinion, when they have witnessed a crates 2000 years ago.

case.

He thought In proof of the ridiculous that this was not a case on which to height, to which the fears of the ground the report of the existence of people have been carried, many in malignant cholera. stances might be stated, but the fol Mr. Hooper informed the society, lowing will serve to point it out fully: that her paramour had informed him a man fell down in the street in a fit that the woman alluded to, and himof apoplexy, and was carried into self had only had a penny loaf for a the Surrey Dispensary, to which he fortnight; but as the woman was out was attached, and he was bled; a all day long, he could not tell what hackney coach was sent for to convey food she might thus have had. On him home, but jarvey, being proba- cutting through the abdomen, he bly suspicious of what kind of fare had found an inch of fat, and also he was to take, declared roundly that raisin stones in the appendix vermi

see his customer first. formis : from these circumstances, and (Luughter. He was taken up stairs, from her not being at all emaciated, and when he saw the unfortunate he was inclined to doubt her dying man lying pale, and covered with of starvation. blood, he exclaimed, “No, I'll none Dr. Stewart stated that he had of him, he's got the cholera morbus." visited Limehouse on Tuesday, and (Laughter.) And in spite of all that had seen two cases, which did not could be urged, the man drove off appear to him to be very severe; at without his fare. An eminent me St. George's Fields, he was told that dical man advised large proprietors all the cases were dead. He had of hackney coaches, to apply to Par likewise seen a case in St. Giles's, liament, for a Bill enabling them to which was since dead, as likewise the refuse all such fares. (Laughter and two in Limehouse, as he had perastonishment.)

sonally ascertained. He had gone on Dr. Negri then read the details of board the Dover, the cholera ship, had

cases of cholera, which had seen six cases, and was told that occurred lately, and he described there had been four deaths. Dr. S. very minutely the pathological ap thought that the appearances of cases pearances, which were found on ex simultaneously in various parts of the mining one of Mr. Hooper's cases. town, is proof that contagion at least

he must

>

some

is not the sole cause of its spreading ; always: in India it was the exception, at the same time, he did not wish to here it was the general rule; another deny, that under certain circum great difference was the consecutive stances, one person might infect ano fever ; in the Bengal reports, the ther.

occurrence of this fever is alluded to, Mr. Field inquired, whether Dr. as a remarkable feature of the disease; Stewart considered it to be a new but here, when the blue or cold stage disease?

has passed, it is a general rule to Dr. Stewart had certainly seen have consecutive fever. These dismany approaches to the disease be tinctions are so great as to oblige Dr. fore, but no case so severe as the J. to consider it as a new disease: present disease. He considered that two-thirds of the European malady there was something about the dis being different from the Indian. Inease, which could not be made out by deed there was only one stage resem the symptoms, as the patients might bling the Indian, and that one exactly appear to be doing well, and yet sink resembled the cold stage of malignant, in spite of every thing.

remittent, intermittent, and other Dr. Gilckrest inquired of Dr. S. fevers. (Hear, hear.) It is remarkable whether he had been purified or fu how some of our most violentopponents migated, on his return from the Do. come round ; the Medical Gazette, of ver? (Laughter.)

this day, says it is the cold stage of a Dr. Stewart, most certainly not. fever, after arguing night after night

Dr. J. Johnson said, that as Mr. in this society, and week after week, Hooper had alluded to him, in relat for its being the Indian cholera for so ing a case from the cholera hospital, long a period. He thought that it he would make some remarks on that was caused by some physical changes subject. He visited the female on in the parts where it was generated, the second day, and found the room and that it was not imported; and, flooded, and the nurse told him, it in respect to contagion, he declared was owing to the patient having that, in spite oftlie severest examinamade water unconsciously. He cer tion, he could not discover the slighttainly did not examine it by the smell, est trace of it, SO HELP Him Gon. but he could not believe it came from If gentlemen would visit the hovels the intestines, because, on examin in the Borough, they would see ing them after death, they were cause enough for the disease, without found to be loaded with a thick, te having recourse to contagion : he had nacious, bilious mucus, for the truth seen a woman lying on a truss of of which he appealed to Dr. Negri ; straw, which had not been changed for (Dr. Negri here said, “ from the nine weeks, and had lived on potatoes stomach downwards ;") and therefore only, for a long while : her husband the patient could not have passed declared that he had not the means this fluid from the bowels ; urine was of purchasing another truss : she was also found in the bladder.

in the last stage of a gastro-enteritis. In only one case that the Dr. saw It was in the origin of disease only were there spasms, and that was not a that its contagious or non-contagious case of cholera ; it was a recurrence nature can be discovered; when it of spasms, to which the man has spread far and wide, it is impossible subject from drinking porter. The to tell. A child in James-street, disease was very different from that Mary-le-bone, which had been ailing he had seen in India, not only in its for two years, was declared by Sir symptoms, but also in its stages. In William Russel and Dr. Gregory to India, the disease was occasionally have had cholera, because its father preceded by diarrhæa, here it was had visited the Borough two days

was

before it died. (Laughter.) He con following :- In the course of Sir sidered it to be an epidemic, over Charles Bell's experiments on the which we had no controul, but arising nerves, he laid bare the fifth nerve in our climate, and confined to certain in the face of an ass, and the moclasses.

ment the animal was killed, on irriDr. Copland was desirous of tating it, the muscles of the lower knowing whether Dr. Johnson con jaw acted, and it closed with a sidered that it differed from the snap. This could only happen through Indian cholera previous to 1817, or

the influence of the anterior or motor since that period. ?

rout, which is entirely distributed to Dr. Johnson said that it differed these muscles. Now, according to from the cholera that he had seen, Mr. West, this stimulus applied to and he thought it differed from the the nerve ought to have increased its disease that appeared in 1817, from restraining influence, and the muscles the description of it which he had of the jaw ought thereby to have read.

been relaxed. Or perhaps he will Mr. Fisher then described a cho say that this influence was entirely lera tour he had made, and said that, destroyed by the irritation, and that among other places, he had visited in this manner the muscles were althe Cholera Floating Hospital, where

lowed to act. How then does he there had been two cases received account for the next experiment, in from a vessel from Inverness. The which the same nerve was divided in subject of one was an intemperate a living animal, and the consequence dyspeptic.

was, the jaw fell powerless ? If we Dr. Copland inquired if that vessel

believe Mr. West's theory correct, had touched at any of the infected

the results of these two experiments places ?

ought to have been reversed ; and in Mr. Fisher replied that it had come

this latter case we ought to have had strnight, without touching any where.

contraction of the muscles. To this Dr. Copland thought that in regard he may answer by quoting another to contagion, the cases as yet in Lon part of his paper,

that the division don, were not sufficient to warrant an of a nerve produces paralysis by inopinion. He then moved an adjourn. terrupting the communication of voment.

lition.” But in this case the commuThe society meets again at the

nication was not interrupted, but was Hunterian Museum. Dr. Copland kept up by branches from the other to open the debate.

divisions of the fifth, for the sensibility was not entirely destroyed.

These circumstances occurred to my mind on reading Mr. West's

paper, and if, in order to have them To the Editors of the London Medical and explained, you will allow them to Surgical Journal.

have a place in your Journal, you

will very much oblige, GENTLEMEN,

Your obedient Servant, I read with much pleasure, in the

Δ. Δ. first number of your Journal, an ingenious paper by Mr. West, "on the [We have received another cominfluence of the nerves over muscular munication from Birmingham on this contractility," and shall be glad to subject, which came to hand too late believe his theory correct, if Mr. W. for insertion.—Evs.] will help me to reconcile it to the

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disease is not Asiatic nor contagious, boldly maintains the opposite opinion,

and as proof positive of the correctLondon Medical & Surgical Journal. ness of his views, which doubtless

must be infallible, for it is clear the London, Saturday, March 3, 1832.

whole profession besides must be wrong; he displays his profound

medical erudition, by citing Daniel WHAT HAS BECOME OF THE ASI

De Foe's fictitious history of the ATIC CHOLERA OF LONDON ?

plague, as invincible evidence. We All the profession of any eminence

should as soon cite, as medical auin London, except a few dependants thority, the Adventures of Robinson on that ever-to-be-remembered body, Crusoe, by the same author. the Central Board of Health, have We acquit the avowed editor suddenly deserted the black banners of this piece of nonsensical extrava. of contagion, under which they have gance; it is the work of some of so long and so ingloriously fought,

those ignorant and superficially inand have joined the ranks of their

formed aspirants to editorial pretenvaliant opponents

the advocates

sions, who set themselves up as conof truth. Even the conductors of stellations to enlighten our profession. that consistent and spirited periodi

Do we blame them for this reference cal, the Medical Gazette, who have to the work in question ? far from it, been vituperating the non-alarmists for we feel proud that our former refor weeks and months, tracing the

commendation of De Foe's History contagion“ up the rivers and down

of the Plague to the especial patronthe rivers in all countries,” have, in age of the contagionists and alarmists, their last publication, abandoned their has been duly appreciated. It is, in opinions; and after having strenu truth, an interresting, though ter. ously diffused their poisonous doc

rific narrative, and highly exaggetrines as far as their limited means rated-peculiarly appropriate during allowed, they now show “ the white the prevalence of cholera-mania. feather.” This is, at all events, pru

We are not surprised, therefore, that dent, for, we have, thanks to the aid the vivid imaginations of the youthof the public press, burst the Cholera

ful conductors of our contemporary, Bubble, and demolished the frightful

should lead them to consider it a contagion of the prevailing epidemic.

work of reference and authority. In Our candid contemporary, the this curious production, it stated, Lancet, nothing daunted by the pro

that at first, few cases of plague apmulgation of the universal opinion of peared in London ; ergo, quoth our the profession, that the prevailing able opponents, as few cases of cho

aseng For the satisfac

lera have as yet appeared, the disease all those whose constitutions are in-
must, like the former, be contagious, jured by fear, dissipation or disease.
and must prevail to an unlimited ex 5. That it arises from a certain
tent. Q. B. D. This is assuredly bad constitution of the atmosphere, whose
logis. We need scarcely sobserve, effects are intereased by the circum- .
that these premises and conclusions stances already mentioned.io
are equally false..

P
For

6. That the first impression of the tion of these able writers, we beg them disease is made on the nervous systo remember, that according to the tem, as evinced-by the depression of bills of mortality, the week after the the mental and corporeal powers, by cholera appeared in London, the the spasms and shiverings, which number of deaths was ninety-four precede it, and that the blood beless than in the preceding one ; and comes secondarily affected, and is the mortality is not greater at present speedily rendered unfit for the support than it was before the disease broke of life. out in the metropolis. So much for 7. That the indications of treatDaniel De Foe's authority, and its ment are first to allay the disturbance supporters.

of the nervous system, by full doses From all we have heard and observ. of opium, and to support the strength ed of the cholera, and the disputants by brandy, ammonia, &c.; to dilute about it, we are still more confirmed the acrid matters in the bowels by in our own opinions :

copious mild drinks, and to arrest '1. That there is an aggravated diarrhea by the usual remedies, with form of cholera, epidemic in this

full doses of opium. By these means, country, at present.

according to the best authorities, and 2. That there is no proof what according to our own personal and ever that the disease was imported, repeated experience, the disease is or. is communicable from one person easily and generally cured. But in to another; for if the converse held the congestive form, mustard emegood, the medical attendants should tics, the application of dry heat, by the be affected like all other classes of hot air, spirit, or vapour baths, with society.

frictions over the stomach, and along 3. That the disease is chiefly de. the course of the spine and lower veloped in filthy unwholesome dis extremities, bottles or tin vessels of tricts, and generally among the warm water, being applied to the

whose condition trunk and extremities, are the rewas never more deplorable than at

medies most to be depended upon. present.

8. That the best means of preven4. That the disease may affect the tion are removal, or improvement of nervous, the timid, the effeminate, or the wants of the poor, personal and

distressed poor,

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