and generally indicates the approach and formation of disease in
the brain. Accordingly, it is a frequent forerunner of _apoplexy_ and
_palsy_.
The immediate or _proximate_ cause of _giddiness_, or _vertigo_, that
is, the actual condition of the brain at the moment, is probably some
partial disturbance in the circulation there; which all the _occasional
causes_ mentioned are obviously calculated to produce. It is more or
less dangerous, according to the cause inducing it, and the state of the
brain itself, which may be sound or otherwise. And as this cannot be
certainly known, nor the extent of it when actually present, the event
is of course uncertain. At all times, your _prognosis_ should be
guarded; because _vertigo_ seldom occurs under favourable circumstances
of age and general health; unless when produced by so slight a cause as
_bloodletting_, or a trifling blow upon the head. Whenever _vertigo_
recurs frequently, and at an advanced period of life; and more
particularly when it is accompanied with drowsiness; weakness of the
voluntary muscles; impaired memory, or judgment; or, in short, any other
disturbance or imperfection in the state of the _sensorial_ functions;
an unfavourable result is to be expected; because all these afford
decisive evidence of a considerable degree and extent of disease in the
brain--_Dr. Clutterbuck's Lectures on the Nervous System_.
BATHING
In this season of the year, a few hints on the temperature of the body
prior to cold immersion, may not unaptly be furnished. It is commonly
supposed, that if a person have made himself warm with walking, or any
other exercise, he must wait till he becomes cooled before he should
plunge into the cold water. Dr. Currie, however, has shown that this is
an erroneous idea, and that in the earlier stages of exercise, before
profuse perspiration has dissipated the heat, and fatigue debilitated
the living power, nothing is more safe, according to his experience,
than the cold bath. This is so true, that the same author constantly
directed infirm persons to use such a degree of exercise before
emersion, as might produce increased action of the vascular system, with
some increase of heat; and thus secure a force of re-action under the
shock, which otherwise might not always take place. The popular opinion,
that it is safest to go perfectly cool into the water, is founded on
erroneous notions, and is sometimes productive of injurious
consequences. T
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