SECT. VII. PHYSIOLOGY. 51 
xevur. These two cases show the general 
course of the Indian cholera, whether it termi- 
nates in re-action, or the comatose stage. The 
Indian practitioner ought carefully to discriminate 
these different stages of this disease, lest he should 
confound it with other complaints of a milder 
nature. 
xcxix. The first or purging state. 'The patient 
is troubled with occasional watery stools, and 
slight griping pains of the abdominal viscera; 
these symptoms are usually so moderate, that the 
patient is not in the least apprehensive of his 
critical situation. The duration of this stage is 
very uncertain; sometimes it precedes the cold 
stage two or three days, and at other times only 
a few hours. 
_ c. So far as my own observation goes, there 
is no possibility of distinguishing these symptoms 
from a common looseness; but, if the Indian 
cholera be epidemic at the time, every purging 
ought to be instantly stopped, and narrowly 
watched. 
cx. The second or cold stage. The first symp- 
toms of this stage are paleness of the face, feeble- 
ness of the pulse, and great reduction of the 
animal temperature; the spasms of the abdominal 
viscera become gradually more violent, the muscles 
of the abdomen and extremities contract into 
hard lumps, and cause intolerable pain. 
