58 ANALYTIC SECT. VET. 
exxvir. But the vital force is, in fact, dimi- 
nished directly, from the beginning of the 
disease, which rarely attacks those in whom it is 
supported by the proper necessaries of life. In 
the last stage, the vital force may also be indirectly 
diminished by the collection of the blood in ‘all 
the cavities, which more particularly affects the 
brain, and impedes its functions. | 
cxxvur. A natural re-action, sufficiently strong 
to restore the expansibility of the muscles, seldom 
occurs in the cholera of India. The celebrated 
Italian missionary, Batholomeo, who had great 
opportunities of observing it, never saw one 
patient recover without the aid of some stimulant, 
and all those “ who refused assistance, died in 
two or three hours.” Mr. Deville, a French’ sur- 
geon, presented a paper to the Academy of Paris, 
in 1820, where he says, that he had séen this 
disease terminate favourably in a natural re-aetion; ; 
but this circumstance must be very rare. | 
cxxrx. In every disease but this, wie the 
blood is concentrated in the cavities, re-action 
always restores the balance of the circulation, 
unless there exist, at the same time, lesions of the 
viscera; but three obstacles oppose re-action in 
the cholera of India. In the second stage, the 
serum of the blood escapes profusely by the intes- 
tinal exhalants, and the spasm of the muscles 
—_—- I 
