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HOUSE OF LORDS, Tuesday, Oct.…





BOARD OF HEALTH COLLEGE OF PHYSICIANS, OCT. 20. —The following are the early synipiomsof the disease in its most marrked forms, as it occurred to the observation of Dr. Russell and Dr. Barry,at St. Petersburgh, corroborated by the accounts from other places where the disease has prevailed -Giddiness, sick stomach, nervous agitation, .iiiierinilent, slow, or small pulse, cramps beginning at the tops of the ifngers and toes, and rapidly approaching the trunk, give the first warning. Vomiting or purging, or both these evacuations, of a liquid like rice-water, or whey, or barley-water, come on the features become sharp and contracted, the eyes sinks, the look is expressive of terror and wildness; the lips, face, neck, hands, and feet, and soon after the thighs, arms, and whole surface, assume a leaden, blue, purple, black, or deep brown tint, according to the complexion of the individual, varying in shade to the intensity of the attack. The fingers .and toes are reduced in size, the skin and soft parts covering them are wrinkled, shrivelled, and folded; the nails put on a blueisli pearly- white the larger superficial veins are marked bv flat lines of a deeper black; the pulse becomes either small as a thread, and scarcely vibrating, or else totally extinct. The skin is deadly cold, and often damp, the tongue always moist, often white and loaded, but flabby and chilled, like a piece of dead flesh. The voice is nearly gon< the respi- ration quick, irregular, and imperfectly performed. The patient speaks in a whisper; he struggles for breath, anil often lays his hand on his heart to point out the seat of his distress. Sometimes there are rigid spasms of the legs, thighs, and loins. Thesecretion ofurine is totally suspended; vomitings and purgings, which are far from being the most important or dangerous symptoms, and which, in a very great number of cases of the disease have not been profuse, or have been arrested by medicines early in the attack, suc- ceed. All means tending to restore the circulation and maintain the warmth of the body should be had recourse to without delay., The patients should atways immediately be put to bed, wrapped up in hot blankets,' anJfwarmlh should he sustained by other external applications; such as repeated frictions with flannels and camphorated spirits; poultice of mustard and linseed (equal parts) to the stomach, particularly where pain and vomiting exist; similar poul- tices to the feet and legs, to restore theirwarmth. The returning heat of the body may be piomoted by bags con- taining hot salt or bran applied to diftVreut parts of it. For the same purpose of restoring and sustaining the cirettlatioii, while wine w hev, with spice, hot brandy and water, or sal volatile, in the dose of a teaspoonful in hot water, fre- quently repeated, or from five to twenty drops of some of the essential oils, as peppermint, cloves, or cajeput, in a wine-glass of water, may be administered with the same view, where the stomarh II ill bear it, warm hro:h with spice may be employed. In every severe ca^e, or where medical aid is difficult to be obtained, from O to 40 drops of laudanum may be given, in any of the warm drinks pie- v oils y recommended. These simple means are prope-ed as re.LOU ces in the incipient stage of the disease, where mC- dical aid has not yet been obtained. In reference to the further means to be adopted in the treatment of this disease, it is necessary to Hate, that no specific remedy has yet been ascertained nor has any planofcure been sufficiently com- mended by success to warrant its express recommendation from authority. HENRY HALFORD, President of the Board. The rules and regulations proposed by the Hoard of Health for the prevention or alleviation of the dreadful disease with which we are now threatened, having been promulgated by order of Government, parish meetings should be held immediately for the purpose of deciding on the adoption of those means by which the virulence of the disease may be mitigated if not whotty avoided. Commit- tees of the most active inhabitants should be appointed at th')S2 meetings, to direct and superintend the daily cleansing of the narrow slreels and allelS of their respective parishes. The principal part of London is cleansed by contract, and the state of the streets, especially those inhabited by the poorer class, where decayed vegetables and all descriptions of filth are allowed to accumulate for several day: in the centre of the road, evidently prove how inefficiently that duty is performed. The water that is allowed to escape through the different drains would, if properly applied, he sufficient to wash most of the streets in the City and the plugs which afforded a supply for wateting the streets dur- ing the summer might be employed for the same purpose. Collections of manure and sweepings at wharfs, public lay stalls, & markets, should be constantly removed & an increased number of scavengers placed at the disposal of the parish committees would insure the perforn.ance of these necessary precautions for public safely, at the same time that the poor would be benefitted by employment at a period wilen there is but little demand for their services. Not an hour should be lost in, organizing a system, to be acted up with vigour on the first indications of the disease. When once its symptoms have appeared, it will be impos- sible to act with that promptness and decision that is re- quired to admit of any chance of arresting its direful pro- gress.-The Times.




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