the symptoms ever mentioned are not present: as if, in the
epidemic cholera of India and other places, even some of the symptoms
considered the most prominent (as spasms, and the disturbance of the
stomach and bowels) were not often absent, and that too in some of the
most rapidly, fatal cases! I feel persuaded that much injustice is done
to a gentleman lately sent to Sunderland, in attributing to him the
very ridiculous opinion, _that because_ the disease did not spread, it
was _therefore_ not identical with the Indian cholera. No person is
justified in speaking of the cholera of India as a disease _sui
gineris_, and in which a certain group of severe symptoms are always
present, when evidence, such as the following is on record:--"On the
22nd instant, when the men had been duly warned of their danger from not
reporting themselves sooner, I got into hospital a different description
of cases, viz.--men with a full pulse, hot skin," &c. (_Dr. Burrell to
Dr. Milne, Seroor, 27th of July, 1818_)--"But I must tell you that we
have, too, cases of common cholera." (_Mr. Craw, Seroor--Bengal Report,
p. 48_)--"The cases which terminated favourably presented very different
symptoms [from the low form of the disease.] As I saw the men
immediately after they were attacked, they came to me with a quick
_full_ pulse, and in several instances pain in the head; there was no
sweating."--"in several cases _bile_ appeared from the first in
considerable quantities in the egesta; and these were more manageable
than those in which no bile was ejected, although the spasms and
vomiting (the most distressing symptoms of the complaint) were equally
violent." (_Mr. Campbell, Seroor,--see Orton, 2nd ed. p. 18_)--"In
conclusion, I am happy to inform you that, for the last three days the
disease has been evidently on the decline, and, during that period, most
of the cases have assumed a different and much milder type, and,
comparatively, are little dangerous. It approaches somewhat to fever;
the patient complains of severe pain in the legs, sometimes vomiting
a watery fluid, and sometimes bile." (_White--Bengal Reports, p. 68._)

The same gentleman afterwards observes, "The disease continues to
present a milder aspect, and now occurs but rarely: loss of pulse and
coldness are seldom observed."

On the decline of a particular epidemic, Mr. Alardyce observed many
cases in the 34th regiment, with _bilious_ discharges throughout.
(Orton, 1st Ed. 128).