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SIMPLE CHOLERA (synonyms, Cholera Eur...

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Originally appearing in Volume V06, Page 263 of the 1911 Encyclopedia Britannica.
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SIMPLE See also:CHOLERA (synonyms, Cholera Europaea, See also:British Cholera, Summer or Autumnal Cholera) is the cholera of See also:ancient medical writers, as is apparent from the accurate description of the disease given by See also:Hippocrates, See also:Celsus and Aretaeus. Its occurrence in an epidemic See also:form was noticed by various physicians in the 16th See also:century, and an admirable See also:account of the disease was subsequently given by See also:Thomas See also:Sydenham in 1669-167z. This disease is sometimes called Cholera Nostras, the word nostras, which is See also:good Latin and used by See also:Cicero, meaning " be-longing to our See also:country." The relations between it and See also:Asiatic cholera (see below) are obscure. Clinically they may exactly resemble each other, and See also:bacteriology has not been able to draw an See also:absolute See also:line between them. The real difference is epidemiological, cholera nostras having no epidemic significance. The See also:chief symptoms in well-marked cases are vomiting and purging occurring either together or alternately. The seizure is usually sudden and violent. The contents of the See also:stomach are first ejected, and this is followed by severe retching and vomiting of thin fluid of bilious See also:appearance and See also:bitter See also:taste. The See also:diarrhoea which accompanies or succeeds the vomiting, and is likewise of bilious See also:character, is attended with severe griping abdominal See also:pain, while cramps affecting the legs or arms greatly intensify the suffering. The effect upon the See also:system is rapid and alarming, a few See also:hours of such an attack sufficing to reduce the strongest See also:person to a See also:state of extreme prostration. The See also:surface of the See also:body becomes See also:cold, the See also:pulse weak, the See also:voice husky, and the whole symptoms may resemble in a striking manner those of See also:malignant cholera, to be subsequently described. In unfavourable cases, particularly where the disorder is epidemic, See also:death may result within See also:forty-eight hours.

Generally, however, the attack is arrested and recovery soon follows, although there may remain for a considerable See also:

time a degree of irritability of the alimentary See also:canal, rendering necessary the utmost care in regard to See also:diet. Attacks of this See also:kind are of frequent occurrence in summer and autumn in almost all countries. They appear specially liable to occur when cold and See also:damp alternate with See also:heat. Occasionally the disorder prevails so extensively as to constitute an epidemic. The exciting causes of an attack are in many cases errors in diet, particularly the use of unripe See also:fruit and new vegetables, and the excessive drinking of cold liquids during See also:perspiration. Out-breaks of this disorder in a See also:household or community can some-times be traced to the use of impure See also:water, or to noxious emanations from the sewers. In the treatment, vomiting should be encouraged so See also:long as it shows the presence of undigested See also:food, after which opiates ought to be administered. Small See also:opium pills, or See also:Dover's See also:powder, or the aromatic powder of See also:chalk with opium, are likely to be retained in the stomach, and will generally succeed in allaying the pain and diarrhoea, while See also:ice and effervescing drinks serve to quench the thirst and subdue the sickness. In aggravated cases where medicines are rejected, enemata of See also:starch and See also:laudanum, or the hypodermic injection of morphia, ought to be resorted to. See also:Counter-irritation by See also:mustard or See also:turpentine over the See also:abdomen is always of use, as is also See also:friction with the hands where cramps are See also:present. When sinking threatens, See also:brandy and See also:ammonia will be called for. During convalescence the food should be in the form of See also:milk and farinaceous diet, or See also:light soups, and all indigestible articles must be carefully avoided.

In the treatment of this disease as it affects See also:

young See also:children (Cholera Infantum), most reliance is to be placed on the See also:administration of chalk and the use of starch enemata. In their See also:case opium in any form cannot be safely employed.

End of Article: SIMPLE CHOLERA (synonyms, Cholera Europaea, British Cholera, Summer or Autumnal Cholera)

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