Bilious Colic.
This disease, in addition to the symptoms of cutting, cramping pains in the bowels, as in common colic, has great distress in the stomach, with nausea and vomiting, the bowels being costive, the feet and hands cold, sometimes cold sweats occur. There is also considerable fever, and frequently headache is present. The substance vomited is at first dark bilious matter, but if the case continues a long time, stercoraceous (fecal) matter will be thrown up.
TREATMENT.
Colocynth is the most important remedy, and should be given early and constantly. Podophyllin is next in importance, and it should be given in alternation with the former, the dose to be repeated as often as every half hour at first, and as the patient becomes easy, at longer intervals. In this, as in the former case, great benefit will be derived from large injections of quite warm water, and let it be taken into the stomach freely, as hot as can be safely swallowed. I have given a gallon of hot water in the course of two hours, to a patient suffering under this disease, the first half pint being rejected, but the balance remaining, perfect relief having been experienced. If fever continues after the colic and nausea cease, Baptisia and Aconite should be given alternately every hour until the fever subsides. If the patient is, and has been, for some time, costive, Nux Vomica should be given once in six or eight hours until the bowels move. Injections may also be used.
Cholera Morbus.
This disease generally comes on at night, in hot weather, and is, in many cases, induced by over eating while the patient is suffering from diarrhœa and a deranged state of the liver. It is essentially of a bilious character. It sets in with great pain in the bowels, sickness at the stomach, and vomiting of large quantities of dark greenish bitter tasting substance. At first, the vomiting will seem to afford relief, but sooner or later the stomach and bowels cramp, and the cramping may extend to other parts of the body, the feet, hands, calves of the legs, and the arms, cold sweats come on, and death terminates his sufferings.
TREATMENT.
Ipecac and Colocynthis are to be given in alternation, and repeated as often as every 30 minutes, for the first three or four doses, then as the patient gets easier, at longer intervals. A dose every hour will suffice as soon as the symptoms begin to abate. The application of hot cloths or even mustard, over the abdomen, frequently palliates the sufferings, and does not interfere with the action of the medicines. Fever of a low typhoid type some times sets in after an attack of cholera morbus, and terminates fatally. This ought never to occur under Homœopathic treatment. For such fever give Baptisia, a dose every hour until the fever subsides, which will occur generally in six or eight hours; if not, and the patient complains of headache, or is delirious, or dizzy, or feels a fullness in the head, give Macrotin in alternation with the Baptisia. Keep the patient very quiet and free from noise, as far as possible. Sleep is a great restorer in any case, but particularly so in this.