king associated with the gouty diathesis, leads to a
general arterio-sclerosis and high arterial pressure. All conditions
which can give rise to a local intracranial or a general bodily increase
of the arterial pressure, i.e. severe exertion of body and mind, violent
emotions, much stooping, overheated rooms, exposure to the sun, sudden
shocks to the body, constipation and straining at stool, may, by
suddenly increasing the strain on the wall of a diseased vessel, lead to
its rupture.

The outlook of apoplexy is generally unfavourable in cases where the
coma is profound; death may take place at different intervals after the
onset. If the patient, after recovering from the initial coma, suffers
with continual headache and lapses into a drowsy state, the result is
likely to be serious; for such a condition probably indicates that an
inflammatory change has taken place about the clot or in the area of
softening.

_Treatment._--The patient should be placed in the recumbent position
with the head and shoulders slightly raised. He should be moved as
little as possible from the place where the attack occurred. The medical
man who is summoned will probably give the following directions: an
ice-bag to be applied to the head; a few grains of calomel or a drop of
croton oil in butter to be placed on the tongue, or an enema of castor
oil to be administered. He may find it necessary to draw off the water
with a catheter. The practice of blood-letting, once so common in this
disease, is seldom resorted to, although in some cases, where there is
very high arterial tension and a general state of plethora, it might be
beneficial. Depletives are not employed where there is evidence of
failure of the heart's action; indeed the cautious administration of
stimulants may be necessary, either subcutaneously or by the mouth (if
there exist a power of swallowing), together with warm applications to
the surface of the body; a water-bed may be required, and careful
nursing, is essential to prevent complications, especially the formation
of bedsores. (F. W. Mo.)

APOROSE (from Gr. [Greek: ha], without, and [Greek: poros], passage), a
biological term meaning imperforate, or not porous: there is a group of
corals called _Aporosa_.

APOSIOPESIS (the Greek for "becoming silent"), a rhetorical device by
which the speaker or writer stops short and leaves something
unexpressed, but yet obvious, to be supplied by the imagination. The