not always easily and promptly to be had, we
have been quite explicit in giving full directions for treatment.

CHOLERA MORBUS, also known as _sporadic cholera_ and _simple cholera_,
usually occurs during the summer months. The attack may be sudden,
although it is usually preceded by a sensation of uneasiness and colicky
pains in the stomach.

SYMPTOMS. Nausea, vomiting and purging are the most prominent symptoms.
The discharge from the bowels is at first of a thin, yellow appearance,
but finally it becomes almost colorless. Sometimes, after the contents
proper of the bowels have been evacuated, the dejections have a bilious
appearance. Severe cramps and pain accompany the vomiting. The vomiting
and purging usually occur in paroxysms, but finally become less
frequent, a reaction takes place, the extremities grow warm, and the
patient gradually recovers. It may be accompanied by intense thirst and
a quick pulse, yet the surface may be cool.

CAUSES. Cholera morbus is most prevalent in warm climates, and
especially in malarial districts. It is generally the result of eating
indigestible articles of food, such as unripe fruit or uncooked
vegetables. Stimulating drinks, or those articles which furnish the
elements for fermentation, also favor the production of this disease.

TREATMENT. If the attack be superinduced by eating unripe or stale
fruit, it may be proper to give an emetic or a cathartic, but ordinarily
first give a full dose of the Extract of Smart-weed, and, if the vomited
matter is very sour, give the patient a weak, alkaline drink, which may
be made by dropping a few live, hard-wood coals into a tumbler of water.
This will not only assist in neutralizing the acidity of the stomach,
but will help to allay the thirst and accompanying fever. If the patient
throw up the first dose of the Extract of Smart-weed, a second should be
given. Do not allow the patient to drink cold water, and give only
tablespoonful doses of the alkaline solution every thirty minutes. If
the thirst is great, occasionally give a tablespoonful of a tea made
from scorched Indian meal, which not only allays the desire to drink,
but also the irritation of the stomach. If to be obtained, give a tea of
the leaves or bark of the peach tree. The patient should be well covered
in bed and kept warm. Laudanum by the stomach, or by enema, may he
necessary in severe cases to relieve the pain and check the purging. Hot
fomentations applied to the bowe