APPENDIX. 511 



" The principal methods of treatment, after the disease was 

 fully established, were : bleedings, emetics, Steven s's saline 

 mixture, camphor this last was at one time in great 

 request calomel one grain every five minutes, cold affu- 

 sions, frictions with spirits of camphor, and insertion between 

 feather beds to provoke perspiration. Although these were 

 the means in most frequent use, I am pretty sure there 

 were few preparations in the pharmacopoeia which were left 

 untried. 



" When the reaction after collapse had set in, with fever, 

 headache, and delirium, it was treated by general or local 

 abstraction of blood, gentle laxatives, calomel, and opium, and 

 general antiphlogistic regimen. 



"During convalescence, tonics and bitter infusions were 

 given. 



" But after all, as regards treatment, my opinion is, that 

 we know just as little now as we did before the disease broke 

 out. The fact is, that in the beginning nothing succeeded, 

 and at last everything answered well. It is my belief that 

 during the first fourteen days after the appearance of the 

 cholera in any place, two out of three cases were fatal; 

 whilst at an after-period the recoveries were infinitely more 

 numerous in proportion. The only remedy that seemed to 

 have a marked influence on the disease was bleeding ; 

 although, when collapse was fairly established, from the 

 blood having assumed a tar-like consistency, it was of less 

 efficacy. 



" Owing to the want of authentic reports from different 

 parts of the country, it is impossible to state with accuracy 

 the number of cases, and the proportion of deaths. In some 

 reports it is quite evident that all cases even those which 



