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CHOLERA: 
 
 PREPARATION FOR ITS 
 
 Prevention and Cure. 
 
 TESTIMONIALS OF DR. CYRUS HAMLIN, OF CONSTANTINO- 
 PLE, AND OTHER EMINENT MEN, WHO TREATED THE 
 CHOLERA, WITH UNPARALLELED SUCCESS, IN 
 EUROPE AND AMERICA, IN 1848, 1855, AND 1865. 
 
 <fi One Ounce of Prevention is better than a Pound of Cure," 
 
 BOSTON: 
 
 ALFRED MUDGE & SON, PRINTERS, No. 34, SCHOOL STREET. 
 
 1866. 
 
Entered according to Act of Congress, in the year 1866, by 
 
 ALFRED MUDGE & SON", 
 
 In the Clerk's Office of the District Court of the District of Massachusetts. 
 
PREFACE 
 
 The compiler of this pamphlet, which contains so 
 much valuable information obtained from well authen- 
 ticated sources, upon subjects of intense interest, is 
 well aware he is not promulgating facts that have 
 not already been before the public. But he is fully 
 impressed with the belief that there are many persons 
 and even educated ones, who have either forgotten, or 
 cannot take the trouble to search for and collect the 
 information, but will, if it be brought before them, feel 
 gratified and thankful for the knowledge that is offered. 
 Therefore he sincerely hopes the rules laid down for 
 the prevention and cure of Cholera, will be carefully 
 observed by every individual in the community, as it 
 will save the lives of thousands should the Cholera 
 prevail in our midst. "A word to the wise is 
 sufficient." 
 
CHOLERA. 
 
 As the cholera is generally expected to visit America 
 the coming season 7 many are already anticipating the 
 event with a nervous and undue anxiety, as if it were 
 sure to be a scourge and put their lives in imminent 
 peril. Now, it is folly taking counsel of weak fear 
 instead of listening to the instruction of good sense. 
 The chief danger to be apprehended, should the dis- 
 ease make its appearance is, not from the disease, but 
 from the want of preparation to receive it, and reckless 
 and unwise conduct in dealing with it. Consequently, 
 the important question is, not how we can escape the 
 visitation altogether, but how can we best ward it off 
 or reduce it to a light calamity on the whole. The 
 first and most obvious answer to be given to this 
 question is, we advise all to keep calm ; be rational, 
 and cultivate if they do not already possess it, presence 
 of mind. But were the disease to prevail to an alarm- 
 ing extent with us, this would be the right thing to say 
 and emphasize. Nobody ever yet escaped bodily ills 
 by getting into a fright about them. Self-posses- 
 l* 
 
sion, the preservation of a cool, cheerful disposition, 
 a firm steady will, often prove an overmatch for sick- 
 ness. This is more than ever true when an epidemic 
 prevails. Another piece of admonition to be volun- 
 teered here is, do not try to run away from the cholera, 
 or hope to hide yourself where it cannot find you. 
 The cholera is a traveller, and goes with the multitude, 
 and will be as likely to catch you on the railroad, in 
 hotels, at watering places, or wherever people congre- 
 gate, as in your own house. If your house is in the 
 city, or its neighborhood, the best thing you can do 
 probably, is to stay at home. We have no fears that 
 the cholera will spread amongst us extensively, or be 
 very destructive, if the rules laid down in this pamphlet 
 are strictly attended to. 
 
 The following remarks of Worthington Hooker, M. 
 D. ; of New Haven, in connection with Dr. Hamlin's, 
 will be worthy of notice coming from his pen at this 
 particular time." 
 
 " Numberless facts have been gathered touching the 
 question whether the cholera is a contagious disease — 
 that is, whether it is diffused by some emanation from 
 the bodies of the sick ; and the conclusion seems to be 
 clearly made out that, while it is now and then con- 
 tagious, its ordinary means of diffusion is something 
 wholly independent of contagion. In other words, it 
 is contingently contagious ; what the contingencies are 
 
that make it so not being at all obvious. Observe the 
 difference, in this respect, between such a disease as 
 small-pox and cholera. The former is so commonly 
 traceable from one person to another, that we properly 
 conclude that it is diffused entirely by contagion. It 
 does, indeed, spread more readily at one time than it 
 does at another, becoming at times epidemic. Its dif- 
 fusion, therefore, depends somewhat on contingencies; 
 but this is not what is meant by the expression con- 
 tingently contagious, which is so often applied to 
 cholera. 
 
 In small-pox, we have a contagious influence always 
 present as the essential means of propagating the dis- 
 ease, the efficiency of whose action is indeed varied by 
 circumstances; but in the case of cholera, the con- 
 tagious influence is not essential, but is only occasion- 
 ally developed, so as to act in connection with that other 
 mysterious cause (whatever it may be) which ordinarily 
 spreads the disease. I say, whatever it may be; for 
 we do not know what it is, no test, chemical or other- 
 wise, having ever detected it. 
 
 Though we know absolutely nothing of the nature of 
 this cause, we do know what are the circumstances 
 which strongly favor the action of it and of the adjunct 
 contagion that now and then accompanies it. These 
 are, intemperate habits, especially in drinking, personal 
 uncleanliness, uncleanliness around habitations and in 
 streets, deficient ventilation, insufficient, poor, and poorly- 
 
8 
 
 prepared food, &c. — in short, all those causes, which 
 have been found, by recent investigations in London, 
 New York, and other large cities, to subject the inhabi- 
 tants of certain quarters in them so largely to fevers 
 and other diseases. 
 
 From what has been said, it is easy to see what we 
 should do by way of prevention. First, as individuals, 
 we can have such personal habits as will put us in the 
 best possible condition of health, and can remove all 
 nuisances, small as well as great, from about our dwell- 
 ings. Then, as members of the community, we can 
 exert our influence in favor of the adoption of all meas- 
 ures directed to the removal of the circumstances which 
 so decidedly promote the diffusion of the disease. Such 
 measures are too often neglected, while money and 
 labor are too disproportionately expended on quarantine 
 regulations, which can have, at best, but little influence. 
 
 "Philadelphia and New York were once put in strong 
 contrast in regard to the results of measures for pre- 
 venting the spread of cholera. Philadelphia went into 
 a general cleaning up, which New York neglected; and 
 the result was that in Philadelphia there were about 
 700 deaths by this disease, and in New York, 5,000. 
 To say nothing of humanity, it would be excellent 
 economy for any city to incur large expense, by way of 
 preparation for the cholera, in abating nuisances, using 
 that term in its widest sense. And if politicians and 
 others could be brought to look things fairly in the face 
 
and to desire honestly the public welfare, the best and 
 most important of all measures would be adopted, viz. : 
 the shutting up of all drinking-places. I speak advis- 
 edly ; for an abundant and multiform experience testifies 
 that the drinking-shop is the chief propagator of the 
 cholera, directly, by the intemperance it produces, and 
 indirectly, by the nuisances which so cluster in and 
 about the habitations of its victims. But such a con- 
 summation as the abating of this worst of all nuisances 
 is not to be expected at present; and partisan politics, 
 love of gain, and fleshly appetite will still conspire to 
 sustain the dram-seller in his daily work of destruction, 
 and in throwing victims into the jaws of the pestilence, 
 whenever it shall come. Secondly, do your duty in the 
 care of the sick, and do not be frightened out of it by 
 the bugbear of contagion, so much conjured up by 
 alarmists. Physicians and nurses are not apt to be 
 attacked with the disease, as they certainly would be, 
 if it were very contagious. Thirdly, believe in no 
 vaunted specific; for it is one of the saddest of the 
 facts developed in cholera epidemics, that many are the 
 victims of the abundant quackery that so unrelentingly 
 pursues its mercenary ends in the midst of scenes of 
 suffering and death. Fourthly, live regularly and on 
 food that is readily digested, not however restricting 
 yourself to so very few articles as some prescribe. All 
 the articles of diet ordinarily used by a rational and 
 moderate liver, may be eaten by any one in good health 
 
10 
 
 during the epidemic. Good ripe fruit should not be 
 excluded from the regular diet. An unnatural restric- 
 tion is really injurious to the health, predisposing, 
 therefore, to the disease." 
 
 When cholera is prevalent, there are many affected 
 with the symptoms of cholera or cholerine, who must, 
 from various causes, fail to have medical advice, — espe- 
 cially among the ignorant poor. Here, then, is an 
 excellent opportunity for benevolent persons to do a 
 great work. By following the direction for stopping 
 the incipient diarrhoea or cholerine, with the Mixture 
 No. 1, let them go from house to house, and administer 
 the remedy. Such an effort as this, systematically pur- 
 sued, would very soon limit the ravages of the disease, 
 not only from the direct influence of the remedies, but 
 also from the cheerful confidence engendered in the 
 poor by the sympathy and aid afforded them by those 
 who are in a better condition of life. 
 
 THE CHOLERA. 
 
 Dr. Hamlin the well known missionary of the Ameri- 
 can Board of Constantinople, writes the following in- 
 teresting communication. His experience with the 
 cholera, and the high esteem in which he is held, render 
 his remarks on this subject at this time invaluable. 
 
 The cholera which has just left us after committing 
 
11 
 
 fearful ravages, is making its way into Europe, and will 
 probably cross the Atlantic before another summer has 
 passed. 
 
 Having been providentially compelled to have a good 
 degree of practical acquaintance with it, and to see it 
 in all its forms and stages during each of its invasions 
 of Constantinople, I wish to make to my friends some 
 suggestions which may relieve anxiety, or be of practi- 
 cal use. 
 
 1st. On the approach of the cholera, every family 
 should be prepared to treat it without waiting for a 
 physician. It does its work so expeditiously, that while 
 you are waiting for the doctor it is done. 
 
 2d. If you prepare for it, it will not come. I think 
 there is no disease which may be avoided with so much 
 certainty as the cholera. But providential circum- 
 stances, or the thoughtless indiscretions of some mem- 
 ber of the household may invite the attack, and the 
 challenge will never be refused. It will probably be 
 made in the night, your physician has been called in 
 another direction, and you must treat the case yourself, 
 or it will be fatal. 
 
 3d. Causes of attack. I have personally investigated 
 at least a hundred cases and not less than three-fourths 
 could be traced directly to improper diet, or to intoxi- 
 cating drinks, or to both united. Of the remainder, 
 suppressed perspiration would comprise a large number. 
 A strong, healthy, temperate, laboring man had a severe 
 
12 
 
 attack of cholera, and after the danger had passed I 
 was curious to ascertain the cause. He had been cau- 
 tious and prudent in his diet. He used nothing intoxi- 
 cating. His residence was in a good locality. But 
 after some hours of hard labor and very profuse perspi- 
 ration, he had lain down to take his customary nap right 
 against an open window through which a very refresh- 
 ing breeze was blowing. Another cause is drinking 
 largely of cold water when hot and thirsty. Great 
 fatigue, great anxiety, fright, fear, all figure among incit- 
 ing causes. If one can avoid all these he is safe from 
 the cholera as from being swept away by a comet. 
 
 4. Symptoms of an attach. While cholera is preva- 
 lent in a place, almost every one experiences more or less 
 disturbance of digestion. It is doubtless in part imagi- 
 nary. Every one notices the slighest variation of feel- 
 ing, and this gives an importance to mere trifles. There 
 is often a slight nausea, or transient pains, or rumbling 
 sounds when no attack follows. No one is entirely free 
 from these. But when diarrhoea commences, though 
 painless and slight, it is in reality the skirmishing party 
 of the advancing column. It will have at first no single 
 characteristic of Asiatic Cholera. But do not be de- 
 ceived. It is the cholera nevertheless. Wait a little, 
 give it time to get hold, say to yourself " I feel perfect- 
 ly well it will soon pass off," and in a short time you 
 will repent of your folly in vain. I have seen many a 
 one commit suicide in this way. 
 
13 
 
 Sometimes, though rarely, the attack commences with 
 vomiting. But in whatever way it commences it is sure 
 to hold on. In a very few hours the patient may sink 
 into the collapse. The hands and feet become cold and 
 purplish, the countenance at first nervous and anxious, 
 becomes gloomy and apathetic, although a mental rest- 
 lessness and raging thirst torment the sufferer while the 
 powers of life are ebbing. The intellect remains clear, 
 bnt all the social and moral feelings seem wonderfully 
 to collapse with the physical powers. The patient 
 knows he is to die, but cares not a snap about it. 
 
 In some cases, though rarely, the diarrhoea continues 
 for a day or two, and the foolish person keeps about, 
 then suddenly sinks, sends for a physician, and before 
 he arrives "dies as the fool dieth." 
 
 COURSE OP TREATMENT. 
 
 1st. For stopping the incipient diarrhoea. The mix- 
 ture which I used in 1848 with great success, and again 
 in 1855, has, during this epidemic, been used by thou- 
 sands, and although the attacks have been more sudden 
 and violent, it has fully established its reputation for 
 efficiency and perfect safety. It consists of equal parts 
 by measure of 1. Laudanum and Spirits of Camphor. 
 2. Tincture of Rhubarb. 30 drops for an adult, on a 
 lump of sugar, will often check the diarrhoea. But to 
 
14 
 
 prevent its return, care should always be taken to 
 continue the medicine every four hours in diminishing 
 doses, 25, 20, 15, 10, 9, when careful diet is all that 
 will be needed. 
 
 In case the first dose does not stay the diarrhoea, 
 continue to give in increasing doses 35, 40, 45, 60, at 
 every movement of the bowels. Large doses will pro- 
 duce no injury while the diarrhoea lasts. When that is 
 checked then is the time for caution. I have neveF 
 seen a case of diarrhoea taken in season which was not 
 thus controlled, but some cases of advanced diarrhoea, 
 and especially of relapse, paid no heed to it whatever. 
 As soon as this becomes apparent, I have always 
 resorted to this course : Prepare a teacup of starch, 
 boiled as for in use in starching linen, and stir into it a 
 full teaspooonful of laudanum for an injection. Give 
 one-third at each movement of. the bowels. In one 
 desperate case, abandoned as hopeless by a physician, 
 I could not stop the diarrhoea until the seventh injec- 
 tion, which contained nearly a teaspoonful of lauda- 
 num. The patient recovered, and is in perfect health. 
 At the same time I use prepared chalk in 10 grain 
 doses, with a few drops of laudanum and camphor to 
 each. But whatever course is pursued it must be follow- 
 ed up, and the diarrhoea controlled, or the patient is lost. 
 
 2d. Mustard poultices. These should be applied to 
 the pit of the stomach, and kept on till the surface is 
 well reddened. 
 
15 
 
 3d. The patient, however well he may feel, should 
 rigidly observe perfect rest. To lie quietly on the back 
 is one-half the battle. In that position the enemy fires 
 over you, but the moment you rise you are hit. 
 
 When the attack comes in the form of a diarrhoea, 
 these directions will enable every one to meet it suc- 
 cessfully. 
 
 4th. But when the attack is more violent, and there 
 is vomiting, or vomiting and purging, perhaps also 
 cramps and colic pains, the following mixture is far 
 more effective and should always be resorted to. The 
 missionaries Messrs. Long, Trowbridge, and Washburn, 
 have used it in very many cases and with wonderful 
 success. It consists of equal parts of Laudanum, 
 Tincture of Capsicum, Tincture of Ginger and Tincture 
 of Cardamom seeds. Dose, 30 to 40 drops, or half a 
 teaspoonful in a little water, and to be increased ac- 
 cording to the urgency of the case. In case the first 
 dose should be ejected, the second, which should stand 
 ready, should be given immediately after the spasm of 
 vomiting has ceased. During this late cholera seige 
 no one of us failed of controlling the vomiting and also 
 the purging by, at most, the third dose. We have, 
 however, invariably made use of large mustard poul- 
 tices of strong pure mustard, applied to the stomach, 
 bowels, calves of the legs, feet, etc., as the case seemed 
 to require. 
 
 Collapse. This is simply a more advanced stage of 
 
16 
 
 the disease. It indicates the gradual failing of all the 
 powers of life. It is difficult to say when a case has 
 become hopeless. At a certain point the body of the 
 patient begins to emit a peculiar odor which I call the 
 death odor, for when that has become decided and 
 unmistakable, I have never known the patient to re- 
 cover. I have repeatedly worked upon such cases for 
 hours with no permanent result. But the blue color, 
 the cold extremities, the deeply sunken eye, the van- 
 ishing pulse are no signs that the case is hopeless. 
 Scores of such cases in the recent epidemic have recov- 
 ered. In addition to the second mixture, brandy (a 
 table spoonful every half hour), bottles of hot water 
 surrounding the patient, especially the extremities, 
 poulticings and friction will often in an hour or two 
 work wonders. 
 
 Thirst. In these and in all advanced cases thirst 
 creates intense suffering. The sufferer craves water, 
 and as sure as he gratifies the craving the worst symp- 
 toms return, and he falls a victim to the transient grati- 
 fication. The only safe way is to have a faithful friend 
 or attendant who will not heed his entreaties. The* 
 suffering may be, however, safely alleviated and ren- 
 dered endurable. Frequent gurgling the throat and 
 washing out the mouth will bring some relief. A 
 spoonful of gum arabic water, or of chamomile tea 
 may frequently be given to wet the throat. " Lynden- 
 ham's White Decoction " may also be given both as a 
 
17 
 
 beverage and nourishment in small quantities, frequent- 
 ly. In a day or two the suffering from thirst will 
 cease. In a large majority it has not been intense for 
 more than 24 hours. 
 
 Diet. Rice water, arrowroot, Lyndenham's White 
 Decoction, crust water, Chamomile tea, are the best 
 articles for a day or two after the attack is controlled. 
 Chamomile is very valuable in restoring the tone of the 
 stomach. 
 
 The Typhoid Fever. A typhoid state for a few days 
 will follow all severe cases ; there is nothing alarming 
 in this. It has very rarely proved fatal. Patience 
 and careful nursing will bring it all right. The great- 
 est danger is from drinking too freely. When the 
 patient seemed to be sinking, a little brandy and water 
 or arrowroot and braudy have revived him. In this 
 terrible visitation of the cholera, we have considered 
 ourselves perfectly armed and equipped, with a hand 
 bag containing mixture No. 1, mixture No. 2, (for 
 vomiting, etc.,) a few pounds of pounded mustard, a 
 bottle of brandy and a paper of Chamomile flowers, 
 and a paper of Gum Arabic. 
 
 I lay no claim to originality in recommending this 
 course of treatment. I have adopted it from sugges- 
 tions of able and experienced physicians. Having been 
 the only doctor of many poor families living near me, I 
 have tried various remedies recommended by physi- 
 cians, but I have found none to be at all compared with 
 
 2* 
 
18 
 
 the above. During the recent cholera I cannot find that 
 any treatment has been so successful as this. 
 
 Contagion. The idea of contagion should be aban- 
 doned. All the missionaries who have been most with the 
 most malignant cases day after day, are fully convinced 
 of the non-contagiousness of the cholera. The incipient 
 attacks which all have suffered from are to be attributed 
 to great fatigue, making the constitution liable to an 
 attack. 
 
 An article from the pen of an eminent practitioner is' 
 worthy of notice, and the experiment worth trying 
 should there be cause for it. 
 
 Allow me to relate the results of my experience 
 during the visitation of this horrible malady, in 1832, 
 when, as a chemist, I laid myself out for a close ex- 
 amination into the cause, mode of propagation, and 
 check for it. For this purpose I obtained information 
 of and visited in person all the earliest cases which 
 showed themselves in this city generally, and in each 
 and great public establishments in particular. For 
 some time I attended almost daily at the cholera hospi- 
 tals, and experimented, in every way I could think of, 
 upon the dead and living subjects, their contents and 
 ejecta, the atmosphere surrounding them and their 
 articles of clothing. The conclusions I arrived at, I 
 forwarded for the information of those who have not had 
 the same opportunities. 
 
 1. That the cause of Cholera is a putrid animal 
 
19 
 
 poison, capable of being recognized by the smell, by 
 some, emanating from, and surrounding the dead or 
 living cholera subject or articles of clothing. 
 
 2. That it is not sulphuretted hydrogen or hydro- 
 sulphuret of ammonia, as it does not decompose salts, 
 or lead, or zinc, and when passed through nitrate of 
 silver it only forms a red solution when exposed to 
 light. 
 
 3. That it is only received into the living body 
 through the lungs, and cannot be propagated by inocu-. 
 lation. 
 
 4. That the affection can be conveyed by articles of 
 clothing, bedding, &c. 
 
 5. That all persons are not equally liable to infec- 
 tion from equal exposure, and even the same individual 
 becomes more sensitive under certain circumstances. 
 
 6. That the poison is destroyed by chlorine gas 
 and heat of 300 degrees Fahrenheit. As the object of 
 the present communication is merely to give the public 
 opinion a right direction, so as to help the future boards 
 of health to combat this insidious and powerful enemy, I 
 must at once state that the two most popular disinfectants 
 of the day, — the chloride of zinc and the nitrate of lead, 
 known as Sir W. Burnett's and Le Doyen's, — will be of 
 no avail, though they will promptly remove ordinary 
 putrid effluvia. The only chemical preventive I de- 
 pended upon in my numerous exposures to the virus 
 was chlorine gas, and this 1 believe to be a perfect one 
 
20 
 
 if the fumigation is complete. I invariably passed 
 through an atmosphere of it on my return home, and 
 kept it escaping in my residence during the continuance 
 of the disease in the city. I also placed large quantities 
 of the substance for the evolution of this gas in the 
 hands of a Bristol druggist, who was kind enough to 
 distribute 1200 quantities of it gratuitously to appli- 
 cants during three days, with instructions for the use, 
 and I am happy to say that during that time the deaths 
 fell from ten to one per day ; and I have but little doubt 
 that if every ship arriving from any infected place should 
 be exposed to a perfect fumigation with chlorine, we 
 shall be preserved from the infection. If the disease 
 should pass this cordon by any accident, then every 
 house in the infected place should be simultaneously 
 fumigated with it, say three times a day. Unless done 
 in all houses at the same time it would be useless, or 
 nearly so ; and to do it effectually, a mixture of three 
 quarts of common salt and one of black oxide of manga- 
 nese, should be placed just inside the outer or street 
 door of the dwelling-house, and a little common vitriol 
 poured upon it. The inward current of air will convey 
 the chlorine gas to every part of the interior, and 
 wherever it can be smelt the effect is produced, — the 
 miasm is destroyed. 
 
 If articles of clothing are infected, and the colors 
 likely to be injured by the gas, they may be heated in 
 an oven or on a kiln to 250 or 300 degrees, (about the 
 
21 
 
 heat of baking bread,) when they might be handled or 
 used with perfect impunity. 
 
 . THE CHOLERA. 
 
 In reference to this subject we have been favored 
 with the following extract of a letter from St. Peters- 
 burg, written by a gentleman well-known in Manchester 
 to the firm here, in which he is a partner : " A very im- 
 portant discovery has been made here very recently, 
 which clearly proves that the malady is in the air, and 
 that therefore quarantines are utterly useless. The air 
 here has had a very singular effect on the magnetic 
 power. Whilst the cholera was at its height, the action 
 of the magnet was nearly neutralized; which, now the 
 disease is gradually subsiding, assumes, by degrees, its 
 former power. A magnet block which used to carry 
 eighty pounds would, during the worst time of the 
 cholera, not carry above thirteen pounds. Its strength 
 has now increased again to sixty pounds. The electro- 
 magnetic telegraph at one time would not work at all." 
 
 [Eng. Paper. 
 
 Much has been said already upon cleanliness, and every 
 person should be thoroughly impressed with the knowl- 
 edge that it acts as a powerful influence on the health 
 and preservation of the body. Cleanliness in our gar- 
 
22 
 
 merits, as well as in our dwellings, which prevents the 
 pernicious effects of dampness, of bad smells and of con- 
 tagions vapors arising from substances abandoned to 
 putrefy. Cleanliness keeps up a free perspiration, 
 renews the air, refreshes the blood, and ^even animates 
 and enlivens the mind. Hence we see, that persons 
 attentive to the cleanliness of their persons and their hab- 
 itations, are in general more healthy and less exposed to 
 diseases than those who live in filth ; and it may more- 
 over be remarked that cleanliness brings with it, through- 
 out every part of the domestic discipline, habits of order 
 and arrangement, which are among the first and best 
 methods and elements of happiness. Superior cleanli- 
 ness often attracts our regard more than even finery 
 itself, and often gains esteem where the other fails. 
 
 DIET. 
 
 Perhaps some of our readers would like to know 
 Mr. Graham's rules for diet during cholera times. 
 "Nearly four months before the cholera appeared in 
 New York, Mr. Graham gave a public lecture in that 
 city, in which he contended that an entire abstinence 
 from flesh-meat and flesh-soups, and from all alcoholic 
 and narcotic liquors and substances, and from every 
 kind of purely stimulating substances, and the observ- 
 ance of a correct general regimen in regard to sleeping, 
 bathing, clothing, exercise, the indulgence of the nat- 
 
23 
 
 ural passions, appetites, &c, &c, would constitute the 
 surest means by which any one could rationally hope 
 to be preserved from an attack of that disease. Mr. 
 Graham repeated the lecture after the cholera had com- 
 menced its ravages in the city, and notwithstanding the 
 powerful opposition to the opinions which he advanced, 
 a very considerable number of citizens strictly adhered 
 to his advice. And it is an important fact, that of all 
 who followed his prescribed regimen uniformly and 
 consistently, not one fell a victim to that fearful disease, 
 and very few had the slightest symptoms of an attack." 
 Another writer, who was very successful in his treat- 
 ment of the cholera in Germany, says diet should be 
 very strict; fish, (eels particularly), fruits, salads and 
 fresh beer are injurious; diet should be light and nutri- 
 tious. Cleanliness must be particularly observed, fresh 
 air inhaled, dwellings and bed-rooms well-ventilated. 
 
 Eat Light Suppers. Dr. Childs, in his treatise on in- 
 digestion, recommends light suppers to prevent morn- 
 ing biliousness. He says, that after fasting, the liver 
 is most fully charged with bile; and as the period of 
 longest abstinence is between the evening meal and 
 breakfast, it follows that there will always be toward 
 morning a natural accumulation of bile, which* may 
 produce morbid voracity. Hence, many who are bilious 
 in -the morning, feel themselves relieved after break- 
 fast — in other words, after some bile has been drained 
 from the liver. 
 
 2 
 
24 
 
 SPECIAL RULES FOR THE PREVENTION OF 
 CHOLERA. 
 
 We urge the necessity in all cases of diarrhoea, 
 cholera-morbus, and cholera, of instant medical aid. 
 Therefore it becomes necessary for every household to 
 see to it, that they have constantly on hand the medicine 
 mixture No. 1 and No. 2, that was used with so much suc- 
 cess by Doctor Hamlin, of Constantinople, for cholera. 
 Immediate attention should be paid to a disordered 
 state of the bowels however slight. Invasion of the 
 cholera may thus be readily prevented. People should 
 avoid excessive fatigue and exposure to damp and cold, 
 during the night. The use of cold drinks and acid 
 liquors should not be used under fatigue, or when the 
 body is heated. Cold acid fruits, and vegetables, are 
 to be avoided. The use of ardent and fermented 
 liquors and tobacco is injurious. Poor diet, and the 
 use of impure water for cooking and drinking, should 
 be avoided. Let the wearing of wet and insufficient 
 clothed be avoided, and be particular to wear flannel, 
 (red is the best), around the bowels. These rules, with 
 personal cleanliness, carefully observed, will not only 
 tend to keep off cholera, but many other diseases with 
 which the human family are afflicted. "All men think 
 all men mortal but themselves." 
 
 

 
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