§ 60. Asiatic cholera.

The Asiatic cholera has been treated and carefully observed by a number of homoeopathic physicians. The results which they have obtained, are by far superior to those of the best allopathic treatment. From the observations of those physicians we have been enabled to deduce definite rules for the treatment of cholera, and to indicate the remedies which have proved specifics in that epidemic.

The following is a list of the homoeopathic publications which we now possess on the subject of cholera:

1. Hahnemann, Hofrath Dr. S., Aufruf an denkende Menschenfreunde uber die Ansteckungsart der Cholera. Leipsic, 1831. (Address to the thinking friends of mankind relative to the mode in which the cholera spreads.)

2. Heilung der Cholera. Cothen, 1831. (Treatment of cholera.)

3. Heilung der Cholera, nebst einem Zusatze, das dietetische Verhalten bei dem Gebrauche der Streu-kiigelchen betreffend. Nuremberg, 1832. (Treatment of cholera, with additions concerning the diet which ought to be observed while using the pellets.)

4. Heilung und Ausrottung der Cholera, mit den Regeln der homoeopathischen Diet. Leipsic, 1831. (Treatment and extirpation of the cholera, with the rules of homoeopathic diet.)

5. Sendschreiben uber die Heilung der Cholera und Sicherung vor Ansteckung am Krankenbette, heraus-gegeben vom Medicinalrath Dr. Stieler. Berlin, 1831. (Address relative to the treatment of cholera, and the best means of guarding against the cholera-contagium at the bedside of patients.)

6. Schubert, Dr. J. A., Heilung und Verhutung der Cholera. Leipsic, 1830. (Treatment of cholera, and the means to prevent it.)

7. Ausziige brieflicher Mittheilungen aus Wien, die asiatische Cholera, deren Eigenthumlichkeiten und ihre homoeopathische Behandlung betreffend. Leipsic, 1832. (Extracts from letters from Vienna, concerning the character of the Asiatic cholera, and its homoeopathic treatment.)

8. Bakody, Dr. Joseph von, Homoeopathische Heilung der Cholera zu Raab in Ungarn, im Jahre 1831. (Homoeopathic treatment of the cholera at Raab, in Hungary.)

9. Homoeopathische Behandlung der asiatischen Cholera, nach Dr. Hofrath S. Hahnemann. Von Dr. Karl Kaemmerer zu Schwabisch Gmund. Stuttgard, 1832. (Homoeopathic treatment of the Asiatic cholera.)

10. Was haben wir von der Cholera zu furchten? Von Dr. K. Preu. Nuremberg, 1831. (What have we to fear from the cholera?)

11. Du traitement homoeopathique du cholera, avec notes et appendice. Par F. F. Quin, M.D., Medecin ordinaire de sa Majeste Leopold roi des Beiges, etc. Paris, chez B. Bailliere, libraire de l'academie royale de medecine. 1832. (Homoeopathic treatment of cholera, with notes.)

12. Vier Vorlesungen uber die Cholera in Europa, von Dr. J. Reubel. Munich, 1831. (Four lectures on the cholera.)

13. Bestatigte Heilung der Cholera durch homoeo-pathische Arzneien, von Dr. Rohl. Eisleben, 1832. (The cure of cholera achieved by homoeopathic remedies.)

14. Die homoeopathische Heilkunst in ihrer An wen-dung gegen die asiatische Brechruhr, dargestellt von Dr. J. J. Roth, practischem Arzte und Privatdocenten an der Universilat zu Munchen. Leipsic, 1833. (The homoeopathic treatment of cholera.)

15. Die Heilung und Prophilaxis der Cholera, v. J. Eman. Veith. Hamm, 1832. (Curative and prophylactic treatment of cholera.)

Beside the above-mentioned publications, there are several interesting articles on the subject of Cholera in the Homoeop. Gazette, Vol. I., Nos. 2, 4, 5, among which Dr. Rummel's treatise, "On the second appearance of the Cholera in Merseburg,"deserves particular mention. Hartlaub and Trinks have collected, with great care, the various letters which have been published on the subject of cholera, and have appended them to the third volume of their Annals. The third volume of Schweichert's Horn. Gazette likewise contains a number of interesting data relative to the treatment of cholera.

§ 61. From the statements and observations relative to the different degrees of cholera we infer, that every age and sex is liable to the invasion of that epidemic; little children and old people are least subject to its attacks; individuals from the 25th to the 60th year of age are most easily affected. The inferior degrees of cholera seem to require a more or less marked predisposition to the disease, depending upon a torpid state of the abdominal organs, upon the constitution of the patient, upon temperament, mode of life, food, climate, locality; this is the reason why the cholera is more frequently met among the poorer classes. The higher degrees of cholera and the malignant form of that epidemic make their appearance among all classes, external circumstances having no influence on the character, course, and symptoms of the disease.

It is true there are extreme degrees of violence and mildness in cholera, the former being malignant and speedily fatal, the latter being controlled more easily; but between those extreme degrees there are numerous shades and gradations in the first appearance, development, violence and concatenation of the symptoms, most of which are founded in the individuality of the patient, and have to be observed with great care, as they determine the remedy which is to be used in the case. Those degrees of violence occur much more frequently in the inferior grades of the disease than in the higher; these are more uniform in their principal symptoms, and the most striking differences occur in the nervous and muscular system. Either degree of the disease, mild or intensely malignant, has no well marked limits. The milder degree may easily pass into the more malignant, but not the reverse.

From time immemorial we understand by cholera a disease which is characterized by the following symptoms: the patient discharges by the mouth and rectum, either continuously or at short intervals, with great violence and in profuse quantities, a watery or else a watery, slimy fluid, which is neither feculent nor, as a general rule, bilious or sanguineous; accompanied with cramp pains in the abdomen and praecordia, with or without colic, properly so called, retention of urine, sudden vanishing of strength, which increases to the most excessive prostration, painful spasms in the limbs and trunk if the disease continue for a certain length of time, and rapid loss of animal heat. Cholera is distinguished from other diseases by the fact that its attacks come on suddenly, without any precursory symptoms, and with great violence; that it is either entirely without any fever, or that the fever is scarcely perceptible, and out of all proportion to the intensity of the symptoms.