ases, where the degree of strength is not
very distinguishable, which may assist our judgment concerning it. Since a
moderately strong pulse, when the patient is in a recumbent posture, and
not hurried in mind, seldom exceeds 120 strokes in a minute; whereas a weak
one often exceeds 130 in a recumbent posture, and 150 in an erect one, in
those fevers, which are termed nervous or putrid. See Sect. XII. 1. 4.
The increased frequency of the pulsation of the heart and arteries, as it
is occasioned either by excess or defect of stimulus, or of sensorial
power, exists both in the cold and hot fits of fever; but when the cold fit
ceases, and the pulse becomes strong and full as well as quick, in
consequence of the increased irritability of the heart and arteries, it
constitutes the irritative fever, or synocha. It is attended with
considerable heat during the paroxysm, and generally terminates in a
quarter of a lunation, without any disturbance of the faculties of the
mind. See Class IV. 1. 1. 8.
M. M. Venesection. Emetics. Cathartics. Cool the patient in the hot fit,
and warm him in the cold one. Rest. Torpentia.
2. _Ebrietas._ Drunkenness. By the stimulus of wine or opium the whole
arterial system, as well as every other part of the moving system, is
excited into increased action. All the secretions, and with them the
production of sensorial power itself in the brain, seem to be for a time
increased, with an additional quantity of heat, and of pleasureable
sensation. See Sect. XXI. on this subject. This explains, why at the
commencement of the warm paroxysm of some fevers the patient is in greater
spirits, or vivacity; because, as in drunkenness, the irritative motions
are all increased, and a greater production of sensation is the
consequence, which when in a certain degree, is pleasureable, as in the
diurnal fever of weak people. Sect. XXXVI. 3. 1.
3. _Haemorrhagia arteriosa._ Arterial haemorrhage. Bleeding with a quick,
strong, and full pulse. The haemorrhages from the lungs, and from the nose,
are the most frequent of these; but it sometimes happens, that a small
artery but half divided, or the puncture of a leech, will continue to bleed
pertinaciously.
M. M. Venesection. Cathartic with calomel. Divide the wounded artery. Bind
sponge on the puncture. If coffee or charcoal internally? If air with less
oxygen?
4. _Haemoptoe arteriosa._ Spitting of arterial blood. Blood spit up from
the lungs is florid, because
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