s one insane idea he kept his bed above twenty years for fear of the
cold air, till at length he died.

M. M. As mania arises from pain either of our muscles or organs of sense,
the arts of relieving pain must constitute the method of cure. See Sect.
XXXIV. 3. 4. Venesection. Vomits of from five grains to ten of emetic
tartar, repeated every third morning for three or four times; with solution
of gum-ammoniac, and soluble tartar, so as to purge gently every day.
Afterwards warm bath for two or three hours a day. Opium in large doses.
Bark. Steel.

Dr. Binns gave two scruples (40 grains) of solid opium at a dose, and
twenty grains four hours afterwards; which restored the patient. Dr.
Brandreth gave 400 drops of laudanum to a maniac in the greatest possible
furor, and in a few hours he became calm and rational. Med. Comment for
1791, p. 384.

_Prognostic._

The temporary quick pulse attending some maniacal cases is simply a symptom
of debility, and is the consequence of too great exertions; but a permanent
quick pulse shews the presence of fever, and is frequently a salutary sign;
because, if the life of the patient be safe, when the fever ceases, the
insanity generally vanishes along with it, as mentioned above. In this case
the kind of fever must direct the method of curing the insanity; which must
consist of moderate evacuations and diluents, if the pulse be strong; or by
nutrientia, bark, and small doses of opium, if the pulse be weak.

Where the cause is of a temporary nature, as in puerperal insanity, there
is reason to hope, that the disease will cease, when the bruises, or other
painful sensations attending this state, are removed. In these cases the
child should be brought frequently to the mother, and applied to her
breast, if she will suffer it, and this whether she at first attends to it
or not; as by a few trials it frequently excites the storge, or maternal
affection, and removes the insanity, as I have witnessed.

When the madness is occasioned by pain of the teeth, which I believe is no
uncommon case, these must be extracted; and the cure follows the extinction
of the pain. There is however some difficulty in detecting the delinquent
tooth in this case, as in hemicrania, unless by its apparent decay, or by
some previous information of its pain having been complained of; because
the pain of the tooth ceases, as soon as the exertions of insanity
commence.

When a person becomes insane, who has a fami