176 Miscellaneous Notices Respecting Cholera. 
To fulfil the three first indications, he relies principally upon a 
combination of active emetics and sudorifics. The point upon which 
he insists the most strongly, is the prompt and active employment of 
emetics, and exciting the action of the skin by a diaphoretic regimen. 
In the stage of collapse, he relies upon a mild stimulating treat- 
ment such as most practitioners would employ in a case of exhaust- 
ion from hemorrhage, or any other wasting evacuation. 
The object aimed at by Dr. Spencer, is, by fixing the character 
of the disease, and by pointing out the symptoms which characterize 
it through its whole course, and especially in its early stages, to af- 
ford the means of a ready diagnosis, and to ascertain the remedial 
measures which will arrest it, before it has advanced to its last, and 
too often fatal period. 
This object, it will be agreed by all, is of the highest importance ; 
of great importance in all epidemics, and especially in this, on ac- 
count of the great mortality, a mortality almost undiminished by any 
peculiar mode of treatment, of the cases which have been suffered 
to go on to the advanced stages of the disease. ; 
In the accomplishment of this object, after discussing the subject 
of the name, the pathology, and the treatment of the first stage of 
the disease, Dr. Spencer has treated,-at large, of the individual and 
public means of preventing the epidemic. The rules which he lays 
down under these heads are highly judicious, and deserve the atten- 
tion of individuals and public bodies. ~ 
Whatever may be thought of Dr. Spencer’ s peculiar notions con- 
cerning this disease, all will probably a — that his — =— it 
evince much candor and ingenuity. — 
2. Letters on Cholera Asphyxia as it has aapaared ¢ in the city of ! 
New York ; addressed to John C.Warren, M. D. &c. by Martin 
Payne, M. D. 
In these letters, which were written ‘by Doct. Payne to his medi- 
cal instructor, the author has shown himself to be an accurate obser- 
‘ ver, and a distinct, unbiassed and intelligent narrator of the phenom- 
ena which occurred in New York during the prevalence im that city 
of the epidemic, which he calls Cholera Asphyxia. ‘The symptoms 
which characterized the disease in that city are the same as have 
been described as existing wherever the disease has appeared in a se- 
vere form. The several stages of the disease, with the peculiar 
symptoms of each, as well as the best mode of treating it, are deseri- 
bed with much clearness and accuracy. 
