Part 163

Cesspools beneath dwellings, dangers of, 192 contamination of water by, 192 evils of, 126

Change of residence as cause of typhoid fever, 244

Cheesy degeneration, 79 metamorphosis, 79

Chicken-pox, 481

Child-bed fever, relation to erysipelas, 630

Childhood, influence of, on occurrence of pertussis, 839

Children, causes of frequency of diphtheria in, 682 typhoid fever in, 301

Chills in pyæmia, 973

Chinolin, use of, in diphtheria, 703

Chloral hydrate, use of, in cerebro-spinal meningitis, 834 in hydrophobia, 907 in pertussis, 846 in relapsing fever, 430

Chloride test for detecting pollution of water-supply, 192

Chloroform, use of, in cholera, 768 in hydrophobia, 907 in relapsing fever, 431

CHOLERA, 715 Definition, 715 Synonyms, 715 History, 715 et seq. Etiology--predisposing causes, 720 Influence of high temperature in origin and spread, 720 Season, influence of, on causation, 720 Over-crowding and filth as causes, 720 Intemperance as a cause, 721 Contagiousness, 721 Modes of transmission, 721 Channels of entrance into system, 721 Propagation of, by fomites, 721 by drinking-water, 723 Cases illustrating spread of, by drinking-water, 724 Influence of height of subsoil-water on prevalence, 722 Humidity of soil as a cause, 722 Special fomites of, 723 Cases illustrating spread of, by fomites, 727 Cases illustrating contagiousness, 728 Objections to contagious nature, 729 Individual immunity, 730 Different grades of, from intensity of poison, 731 Specific origin, 747 Nature of poison, 748 Influence of bacteria in production, 748 Koch's investigations in regard to bacilli, 745, 749 Symptoms, 731 Mild forms, 732 "Cholerine" stage, 732 Number of stools in mild forms, 732 Character of stools in mild forms, 732 Grave forms, 733 Physiognomy in grave forms, 733 Stools in grave forms, 733 Typhoid state, 734 Stage of collapse, 734 Reaction, 734 Convalescence, 735 Temperature, 736 Difference between axillary, vaginal, and rectal temperature, 736 Special symptoms--Low temperature of mouth, 736 Condition of skin, 736 Color of skin, 737 Condition of heart and pulse, 737 Veins, 737 Vomiting, 738 Character of vomit, 738 Diarrhoea, 738 Results of diarrhoea, 738 Characters of stools, 739 Condition of urine, 739 Cramps, 740 Causes of cramps, 740 State of abdomen, 741 of nervous system, 741 Complications and sequelæ, 735 Complicated by diphtheritic exudations, 735 Inflammation of parotid and submaxillary glands, 735 Abscesses and ulcers, 735 Cutaneous eruptions, 735 Morbid anatomy--general appearance after death, 741 Cadaveric rigidity, 741 Muscular contractions after death, 741 Appearance, post-mortem, of abdominal cavity, 743 Changes in stomach, 743 Intestinal canal, 743 Intestinal mucous membrane, 743 Nature of exfoliation from intestinal canal, 744 Changes in isolated and agminated glands, 745 Capillaries and veins of intestinal canal, 745 Liver, 745 Gall-bladder, 746 Spleen, 746 Heart, 746 Pericardium, 747 Lungs, 746 Brain and spinal marrow, 746 Kidneys, 746 Blood, 747 Diagnosis--from cholera morbus, 750 from irritant poisoning, 752 Order of symptoms as a ground for, 753 Prognosis, 753 Symptoms indicating favorable and unfavorable, 754 Mortality--in different epidemics, 754 Influence of age, 754 Sex, 754 Social condition, 754 Treatment, 759 Preventive, 755 Disinfection, 758 Modes of applying disinfectants, 758 Importance of maintaining high degree of health during epidemics, 758 Quarantine and sanitary cordons for prevention, 755 et seq. Mode of carrying out quarantine, 757 Cases illustrating value of quarantine, 757 Use of drinking-water during epidemics, 759 General management, 760 Importance of early recognition, 732 Necessity of rest, 760 of prompt, 760 Diarrhoea, 760 Vomiting, 761 Hiccough, 762 Injection of sodium chloride into veins, 762 Stage of collapse, 763 Diet of stage of reaction, 763 For restoration of circulation in stage of collapse, 763 Stage of reaction, 763 Undue reaction, 764 Urinary suppression in stage of reaction, 764 Convalescence, 764 Use of venesection in, 764 Emetics, 765 Calomel, 766 Alcohol, 767 Opiates, 767 Mineral acids, 768 Camphor, 768 Chloroform, 768 Intravenous injections, 768 Hot applications, 769 Cold affusions, 769 Of cramps, 769 Necessity of cold water to allay thirst, 770 Use of antiseptic remedies, 770

Cholerine, 732

Chorea, following typhoid fever, 293

Chronic diseases, relation of, to rubeola, 561 forms of erysipelas, 634 of glanders, 915, 923

Cicatrix, condition during incubation of hydrophobia, 895 in hydrophobia, excision, 906-908 in vaccinia, description, 460

Classification of puerperal inflammations, 986

Cleanliness, importance of, in prevention of pyæmia, 980 in variola, 454

Climate, as a cause of disease, 185 definition of term, 185 influence of, on causation of influenza, 860 on causation of rabies and hydrophobia, 887 of rubeola, 560

Clinical history of influenza, 864

Clothing as a cause of disease, 198

Cloudy swelling, 72

Coagulation of exudations, 43

Cohnheim's theory of production of morbid growths, 106

Colchicum, use of, in dengue, 885

Cold as a cause of disease, 133 and damp, influence of, on causation of glanders, 912 bath, use of, in diphtheria, 702 in puerperal fever, 1034 in typhoid fever, 327 Contra-indications to use of, in diphtheria, 703 Use of, in algid form of pernicious malarial fever, 608 in cerebro-spinal meningitis, 830 in cholera, 769 in diphtheria, 702 in puerperal fever, 1033 in the hyperpyrexia of scarlet fever, 541 in scarlet fever, 542 in yellow fever, 651 water, intra-uterine injections of, in puerperal fever, 1034 mode of applying, in scarlet fever, 542

Cold stage of intermittent fever, 592 of intermittent fever, theory of cause, 593 treatment, 594 of yellow fever, treatment, 653