THE TREATMENT OF ASIATIC CHOLERA. 89 



Table IV. — Showing the results of urinary examinations. 



Day. 



23 recoveries. 



6 deaths, ursemia. 



Quantity 

 of urine. 



Albu- 

 min. 



Urea. 



Total 

 solids. 



Quantity 

 of urine. 



Albu- 

 min. 



Urea. 



1 

 Total 

 solids. 



First 



cc. 

 18 



188 



745 



1023 



1337 



1764 



1810 



1.5 

 1.6 

 1.0 

 0.9 

 0.7 

 0.5 

 0.5 



0.8 

 2.0 

 12.0 

 17.0 

 20.0 

 24.0 

 30.0 



3 

 5 

 17 

 23 

 27 

 30 

 34 



cc. 

 17 



10 



50 



60 



153 



125 



160 



1.0 

 3.0 

 1.7 

 1.6 

 2.0 

 2.0 

 2.0 



0.05 



0.06 



0.22 



0.2 



0.4 



1.0 



2.0 



0.5 

 0.4 

 1.1 

 1.3 

 4.0 

 4.0 

 4.0 



Second 



Third 



Fourth 



Fifth 



Sixth 



Seventh 



The albumin was simply estimated by the eye with the nitric acid test 

 as of degree 1, 2, or 3. The urea was estimated by the Doremus 

 apparatus and the total solids by the specific gravity. The average 

 amount of urine per day per case was as follows: 



Table V. — Showing the average urinary results. 





Quantity 

 of urine. 



Albu- 

 min. 



Urea. 



Total 

 solids. 



Recoveries 



cc. 

 900 



72 



0.3 

 2.0 



13.0 

 0.7 



18.0 

 2.0 



Deaths ... . 





The average time of convalescence was five days, the average fatal 

 case lived six days. The number of cases is too small for the figures 

 to be conclusive, but some such method of examination as illustrated by 

 this table might be of value in order early to direct proper treatment to 

 the ursemic cases. 



Intestinal paralysis occurred in a few cases, and as a rule was very 

 intractable. This condition sometimes was relieved by hot turpentine 

 stupes applied to the abdomen over a long period of time in connection 

 with hot saline enemata, with the rectal tube left in for a variable period 

 to draw off the water and gas. Later, small doses of calomel followed 

 by magnesium sulphate were given, but owing to the denuded condition 

 of the intestine and the lowered vitality of the patient these drags some- 

 times produced a bad effect. 



As a result of the subcutaneous injection of saline solution, abscesses 

 occurred in only two cases, once under the breast and once in the groin. 

 When one considers the large number of injections that were given and 

 the confusion that attended the giving of many of them, one is surprised 

 to find that more abscesses did not develop. 



In a few cases a general urticarial-like rash appeared. This was in 

 patients in which the ursemic symptoms were well marked and in which 

 the convalescence extended over a longer period than usual. None of 



