the face red, the
breathing oppressed, the pulse slow and sluggish, _Opium_ is to be
used, and may be given in alternation with _Laurocerasus_.
For the irritation of the brain, and furious delirium that sometimes
sets in after the cessation of cholera symptoms, _Secale_ and
_Belladonna_ in alternation will prove specific.
Let the patient have warm or cold drink as he prefers, and let his
covering be light or plentiful as is most agreeable. As soon as he gets
easy, and the vomiting and purging cease, and his pulse begins to
return, keep him quiet as possible, let the room be darkened and
everything still, so that he may go to sleep, which he is inclined to
do, this being the surest restorer. I am quite sure I have known several
patients carried off by a return of the disease, after it had been
effectually arrested, in consequence of sleep being prevented by the
rejoicing officiousness and congratulations of friends, disturbing and
preventing that early and quiet slumber which nature so much needs, and
must have, or hopelessly sink. The diet for two or three days after
recovery, should be a little oat meal gruel or rice.
Small Pox--Variola.
This disease begins with pain in the head and back, chilly sensations,
followed by a high fever, so similar in all respects to a severe attack
of Bilious or "winter" fever, that it is difficult or impossible to
distinguish it with certainty, as Small Pox. The fact of the prevalence
of the disease at the time, and the exposure of the patient, may lead
the Physician and friends to suspect Small Pox. There is one very
striking symptom of Small Pox, however, that exists from the beginning,
which, though it may be present in fever simply, is not uniformly so.
This is a severe and constant aching _pain in the small of the back_.
The headache is also constant.
The Small Pox is of two varieties or degrees, _distinct_ and
_confluent_. The _distinct_ is when the pustules are separated from each
other, each one a distinct elevation, with more or less space between
them not affected by the eruption.
The _confluent_ is where the pustules spread out from their sides and
run together, covering the whole surface as one sore.
It may be distinct on some parts, as on the body, and confluent on
others, as the arms, face, and parts most exposed to the air.
In the _Distinct_ variety the fever continues without abatement until
the eruption appears, when it entirely subsides, and that quite
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