102 



THE MICROSCOPE. 



mediate action, even if there is the faintest suspicion of cholera 

 either with or without diarrhoea. In every post-mortem seen 

 by me of cases of death in which there had been no marked 

 diarrhoea, the colon and small intestines were rilled with ac- 

 cumulations of choleraic matter which swarmed with comma 

 bacilli. The rule from which there need never be deviation is 

 to treat the patient by irrigation of the bowels and rinsing of 

 the stomach, without waiting for confirmation of the diagnosis 

 either with the microscope or by the culture test. The best 

 part of the practice is always to save the patient, even at the 

 expense of fine statistics. The accompanying illustration ex- 



plains the manner of using irrigation of the intestines. Such 

 apparatus is suitable for places of public treatment of the sick. 

 In private practice the syringe would take the place of the ir- 

 rigating apparatus. The exact model of the irrigating table 

 used by me in St. Petersburg may be seen at Mr. Sargent's 

 store on Wabash avenue. 



For internal treatment my experience taught me that the 

 medicinal peroxide of hydrogen, of Marchand, given in cupful 

 doses of the strength of 4 per cent., or even much stronger, was 

 a better antiseptic than any other drug heretofore known in 



