CHOLERA ASIATICA. 715 



proved to be correct on the whole. From numerous careful observa- 

 tions of the temperature in cholera patients, Jilterbogk arrived at the 

 following results : 1. In the algid stage, the head, extremities, etc., are 

 colder than in almost any other disease. 2. In the algid stage, the 

 temperature of the cavities of the body, such as the vagina and rectum, 

 is the highest (that can be measured) in the body, and it should always 

 be taken for measurements. 3. In the algid stage, whether the case 

 be favorable or fatal, the temperature within the body is usually in- 

 creased, more rarely normal, most rarely diminished, although no cause 

 for this has ever been found in the pathological symptoms during life, 

 or on autopsy. 4. In the algid stage, the temperature of the whole 

 body usually rises with the approach of death, but does not appear to 

 increase afterward. But there are cases where this rise does not take 

 place without our being able to find any reason for this deviation. 5. 

 The commencement of reaction is not accompanied by any elevation of 

 temperature, but the interior of the body usually cools off, while the 

 outer parts warm up. 6. In cases of protracted reaction, the tempera- 

 ture of the whole body generally sinks below the normal. 7. The in- 

 flammatory sequelae generally, if not always, cause a decided eleva- 

 tion of temperature. 8. During perfect convalescence, an abnormal 

 elevation of temperature is often seen, without any pathological cause 

 for it being discoverable. 



The general name of "cholera typhoid" has been given to the 

 secondary symptoms that often follow the proper cholera attack. 

 From the fact that these sequelae follow cholera asphyxia almost 

 exclusively, never simple cholera diarrhoea, rarely cholerine, and do not 

 constantly follow the first form of the disease, we may conclude that 

 they do not directly depend on infection with cholera poison, but are 

 based on the pathological processes during an attack of cholera, par- 

 ticularly of the severest form. As we have already seen, the same 

 state of affairs occurs in typhus, where also the proper symptoms of 

 poisoning are often, but not always, followed by secondary affections 

 due to the typhus. It may be readily seen that the stagnation of the 

 thickened blood in the capillaries, and the consequent interruption of 

 nutrition, if they last for several hours, a day, or more, may have a 

 very injurious effect on the nutritive condition and functions of the 

 organs; and we have already mentioned a series of inflammatory 

 symptoms whose remains were found in the bodies of persons who 

 died after the termination of the actual cholera attack. This view of 

 the origin of the secondary diseases (the cholera typhoid) also agrees 

 with the fact that they most frequently occur when the algid stage 

 has been very marked and protracted. The fact that the secondary 

 inflammations remain more or less latent, and often betray them- 



