Appendix. 3 1 7 



Cholera Pills. Take of sugar of lead half-dram, camphor 

 powder twelve grains, opium six grains, chillie powder six 

 grains ; mix into a mass, and divide into twelve pills ; dose, 

 one every two hours. Vomiting may be subdued by applying 

 mustard poultice to the stomach, and giving small quantities 

 of soda water or ice frequently. 



For cramps, apply turpentine, mustard poultices, hot bran 

 or ashes, and smart friction. 



Diet. Beef-tea, mutton or chicken broth, arrow-root, sago, 

 corn-flour, rolong, but no solid food. 



In collapses, discontinue cholera mixture, pills, or chloro- 

 dyne, and give small quantities of brandy or arrack or cham- 

 pagne, or a teaspoonful of sal volatile in water every hour till 

 reaction sets in. 



Note. Avoid all saline or strong purgatives when cholera 

 is prevailing. Bury all discharges from cholera patients in 

 ground distant from wells or tanks, and do the same for a 

 week or ten days with all clothes (worn by the patients) before 

 they are washed. 



DYSENTERY, ACUTE. 



Causes. Exposure to heat and cold, sudden variations 

 in temperature, malarious atmosphere, unwholesome food, 

 persistent constipation, disease of liver. 



Symptoms. Frequent evacuations of mucus or slime and 

 blood, or both together from the bowels, severe griping pain, 

 increased on pressure over lower part of abdomen, with great 

 straining. 



Treatment. A teaspoonful of castor oil, with twenty drops 

 of laudanum, to be given at once. If symptoms continue 

 twelve hours after the above, then give the patient twenty- 

 five to thirty drops of laudanum in a tablespoonful of water, 

 fifteen or twenty minutes afterwards give thirty grains 

 ipecacuanha powder, in a small wineglassful of water, and 

 immediately after, apply a good-sized mustard poultice over 

 the pit of the stomach for twenty minutes ; keep the patient 

 on his back, and do not disturb him. Great nausea and 



