500 Observations on the medical effects 



such as heat, friction with stimulants, narcotics, and calomel; 

 &c. internally. 



26th. — He died during the night. 



This was the first case in which a continued application 

 of the tourniquet was attempted, and although the result was 

 unfavourable, it satisfied me that the tourniquet was a very 

 valuable remedy in this most fatal disease. This seems to be 

 proved by the following cases. 



Case XIII. — Ducus Sing, aged 30, was admitted yester- 

 day afternoon into the city hospital, in the collapsed stage 

 of cholera. He had vomited, and his motions were scanty 

 and like conjee ; body cold ; pulse soft and accelerated, pro- 

 bably from the exertion of being brought to the hospital, but 

 it soon became imperceptible ; his eyes became sunk and 

 lifeless. Narcotics, and the usual stimulants were employed 

 without effect, and he continually complained of thirst. The 

 tourniquet was applied to the arm and leg, and the pulse im- 

 mediately rose, and the warmth of the body increased. It was 

 continued, but was loosened several times by the patient ; and 

 during the night was removed altogether. Morning — cold ; 

 eyes sunk ; pulse imperceptible at the wrist ; thirst less. In 

 this state when the temperature of the air was 86° and that 

 of the axilla 96°, I applied the tourniquets, and in five minutes 

 the pulse became full, soft, and 112° in a minute ; the tem- 

 perature somewhat increased ; in the axilla 97° ; feels better ; 

 wishes to eat. 



30th. — Three white motions after ten grains of calomel 

 and one grain of opium ; secretion of urine free and well 

 coloured. Sleeps well ; pulse full ; skin cold. 



31 st. — Four leeches applied last night to the temples; 

 which diminished the determination to the head. The patient 

 feels well, and wishes to go home. I have recommended him 

 to remain two days longer. 



2nd November, — Left the hospital well. 



