uantity of aliment; and in increasing the
motions of the organs of sense in consequence of some degree of
intoxication, whence difficulty of breathing may occur from the
inirritability of the lungs, as in Class I. 2. 1. 3.
M. M. To sleep on a hard bed with the head raised. Moderate supper. The
bark. By sleeping on a harder bed the patient will turn himself more
frequently, and not be liable to sleep too profoundly, or lie too long in
one posture. To be awakened frequently by an alarm clock.
14. _Lethargus._ The lethargy is a slighter apoplexy. It is supposed to
originate from universal pressure on the brain, and is said to be produced
by compressing the spinal marrow, where there is a deficiency of the bone
in the spina bifida. See Sect. XVIII. 20. Whereas in the hydrocephalus
there is only a partial pressure of the brain; and probably in nervous
fevers with stupor the pressure on the brain may affect only the nerves of
the senses, which lie within the skull, and not those nerves of the medulla
oblongata, which principally contribute to move the heart and arteries;
whence in the lethargic or apoplectic stupor the pulse is slow as in sleep,
whereas in nervous fever the pulse is very quick and feeble, and generally
so in hydrocephalus.
In cases of obstructed kidneys, whether owing to the tubuli uriniferi being
totally obstructed by calculous matter, or by their paralysis, a kind of
drowsiness or lethargy comes on about the eighth or ninth day, and the
patient gradually sinks. See Class I. 1. 3. 9.
15. _Syncope epileptica_, is a temporary apoplexy, the pulse continuing in
its natural state, and the voluntary power suspended. This terminates the
paroxysms of epilepsy.
When the animal power is much exhausted by the preceding convulsions, so
that the motions from sensation as well as those from volition are
suspended; in a quarter or half an hour the sensorial power becomes
restored, and if no pain, or irritation producing pain, recurs, the fit of
epilepsy ceases; if the pain recurs, or the irritation, which used to
produce it, a new fit of convulsion takes place, and is succeeded again by
a syncope. See Epilepsy, Class III. 1. 1. 7.
16. _Apoplexia._ Apoplexy may be termed an universal palsy, or a permanent
sleep. In which, where the pulse is weak, copious bleeding must be
injurious; as is well observed by Dr. Heberden, Trans. of the College.
Mr. ----, about 70 years of age, had an apoplectic seizure. His pulse w
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