sorbents.

2. When the stomach is primarily affected by defect of stimulus, as by cold
or hunger; or secondarily by defect of the power of association, as in
intermittent fevers; or lastly in consequence of the introduction of the
sensorial power of sensation, as in inflammatory diseases; the actions of
the heart and arteries are not diminished, as when the stomach is primarily
affected with torpor by its previous exhaustion of sensorial power, but
become greatly increased, producing irritative or inflammatory fever. Where
this fever is continued, though with some remissions and exacerbations, the
excessive action is at length so much lessened by expenditure of sensorial
power, as to gradually terminate in health; or it becomes totally
exhausted, and death succeeds the destruction of the irritability and
associability of the system.

3. There is also another termination of the diseases in consequence of
great torpor of the stomach, which are not always termed fevers; one of
these is attended with so great and universal torpor, that the patient dies
in the first cold fit; that is, within twelve hours or less of the first
seizure; this is commonly termed sudden death. But the quickness of the
pulse, and the coldness with shuddering, and with sick stomach,
distinguished a case, which I lately saw, from the sudden deaths occasioned
by apoplexy, or ruptured blood-vessels.

In hemicrania I believe the stomach is always affected secondarily, as no
quickness of pulse generally attends it, and as the stomach recovers its
activity in about two whole days. But in the following case, which I saw
last week, I suppose the stomach suddenly became paralytic, and caused in
about a week the death of the patient. Miss ----, a fine young lady about
nineteen, had bathed a few times, about a month before, in a cold spring,
and was always much indisposed after it; she was seized with sickness, and
cold shuddering, with very quick pulse, which was succeeded by a violent
hot fit; during the next cold paroxysm she had a convulsion fit; and after
that symptoms of insanity, so as to strike and bite the attendants, and to
speak furious language; the same circumstances occurred during a third fit,
in which I believe a strait waistcoat was put on, and some blood taken from
her; during all this time her stomach would receive no nutriment, except
once or twice a little wine and water. On the seventh day of the disease,
when I saw her, the extremities