of a partial Obstruction of the Circulation. 499 



and no pulse at the wrist. The tourniquet was applied to a 

 leg and arm ; a sinapism to the abdomen, and cholera mix- 

 ture administered. These means produced an amelioration of 

 all the symptoms ; the purging and vomiting ceased, the 

 heat of the body increased, and he slept most comfortably. 

 Was well next day, and has continued to get stronger : on 

 the 8th he was discharged quite well. 



I soon saw the necessity of retaining the tourniquets perma- 

 nently, leaving one free for a time, and again putting it on, so 

 as to avert the collapse, which follows the removal of the liga- 

 ture, and thus retain the increased strength, which the dimi- 

 nished circulation had produced. The following is the result. 



Case XII. — Gunga Sing, was brought to the hospital at 

 noon of the 23rd October, in the collapsed stage of cholera. 

 There was very great anxiety and restlessness ; no pulse at 

 the wrist, and great thirst ; no vomiting nor purging. The 

 tourniquets were applied, and the body became warm, while 

 the extremities remained cold. 



24:th. — The tourniquets were continued all day and night ; 

 at times they were slackened, and they have been removed 

 some hours this morning ; body warm ; extremities cold and 

 dry. The eyes continue much sunken, turned upwards, in- 

 animate, and filled with white mucus. Very anxious and 

 restless ; pulse small and very weak after the tourniquets 

 were applied. Temperature of the body 100°. He complain- 

 ed of the tourniquets, and at last removed them. 



25th. — Still anxious and restless, with 24 respirations in a 

 minute ; in other respects better. His look much improv- 

 ed ; eyes more animated and clearer ; has appetite, and has 

 eaten some arrow-root ; but will not allow the tourniquets to 

 be applied. They seem to irritate him, and having discover- 

 ed the method of loosening them, he does so without hesita- 

 tion. The circulation being left free, he rapidly got worse, 

 although all the usual remedies were employed for cholera, 



