920 BOTANIC PHYSICIAN. 
~ .-¥n wafth climates it is met with in all seasons of the year; but ift 
gold climates it is apt to prevail most during the autumnal months, 
when there is excessive heat; or sudden transitions from heat to 
told; and the violence of the disease has usually been observed to 
be greater in proportion to the intenseness of the heat—circum- 
stances which induce a belief that cholera morbus is the effect ofa — 
warm atmosphere producing «some change in the state of the bile, 
_ which may consist either in the matter of the bile being rendered z 
more acrid, or its secretion being preternaturally increased. 
~ Cavsmsft is décasioned by a redundancy and putrid acrimony 
of the bile; by eating more than can be digested; by food that | 
easily turns rancid or sour on the stomach, as butter, bacon, sweet 
‘meats, cucumbers, melons, cherries, and all cold and unripe 
fruits. It sometimes is the effect of strong acrid purges or vomits, 
of p ous substances taken into the stomach; or of violent 
, 
m posts. —It is generally preceded by a heartburn, sour belch 
| flatulencies, with pain of the stomach and_ intestines. 
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e 
yellow, or blackish colored bile ; with a distention of the stomach and 
violent gtiping pains. Also, great thirst, quick and unequal pulses 
meee. Ser 
Po these succeed nausea, excessive vomiting, and purging of green, 
and often a fixed, sharp pain about the navel. As the disease ad+ ‘i 
vances, the pulse sinks so low as to be quite imperceptible, the 
: peo - Violent hiceupping, fainting and convulsions, are the 
ching death. 
a 
nding cause should be assisted: therefore, give plen- 
broths to facilitate the yomiting. Very weak chicken 
‘haps is preferable to any other, for this purpose} it shoul¢ 
be drank plentifully to promote the vomiting, buta elyster 
of it given every hour, to promote purging; or camomile tea; warm 
‘extremities grow cold or cramped, and ate often covered with 4 — 
_. clammy sweat, the urine is obstructed and there is palpitation of 
R _ At the beginning of this disease, the efforts of Nature to 7 
water, thin water gruel, barley water, linseed tea, or other diluting 3 
tung Out in the “ anodyne wash,” warm, may be applied oD the 
ion of the stomach, renewing them as often as they become dy 
oh of toasted bread may be drunk to stop the vomiting. T! 
bre ad should be toasted till it is of a brown aia and a te 5 
oiled in spring water. Ifthis does not put a stop to the vomiilites 
two table spoonsful of the chalk julep, with ten drops of laudanu™> 
en eg i oa "gee 
e vomiting and purging ought never io be stopped too 
however. rake as tis aches sce do not per! ne ath 
_ they are salutary, and may be allowed to.go on, or rather ou 
. be promoted. But when the patient is weakened by thi 
_ tions, which may be known by the sinking of the 
tourse must immediately he had to opiates, as rec 
liquors may be drank, In addition to these means, flannel clots: — 
er these evacuations have been continued for some time, # de Z 
