as
strong and full. One of the temporal arteries was opened, and about ten
ounces of blood suddenly taken from it. He seemed to receive no benefit
from this operation; but gradually sunk, and lived but a day or two.
If apoplexy arises from the pressure of blood extravasated on the brain,
one moderate venesection may be of service to prevent the further effusion
of blood; but copious venesection must be injurious by weakening the
patient; since the effused blood must have time, as in common vibices or
bruises, to undergo a chemico-animal process, so to change its nature as to
fit it for absorption; which may take two or three weeks, which time a
patient weakened by repeated venesection or arteriotomy may not survive.
Mrs. ----, about 40 years old, had an apoplectic seizure after great
exertion from fear; she had lain about 24 hours without speech, or having
swallowed any liquid. She was then forcibly raised in bed, and a spoonful
of solution of aloes in wine put into her mouth, and the end of the spoon
withdrawn, that she might more easily swallow the liquid.--This was done
every hour, with broth, and wine and water intervening, till evacuations
were procured; which with other means had good effect, and she recovered,
except that a considerable degree of hemiplegia remained, and some
imperfection of her speech.
Many people, who have taken so much vinous spirit as to acquire the
temporary apoplexy of intoxication, and are not improperly said to be
dead-drunk, have died after copious venesection, I suppose in consequence
of it. I once saw at a public meeting two gentlemen in the drunken
apoplexy; they were totally insensible with low pulse, on this account they
were directed not to lose blood, but to be laid on a bed with their heads
high, and to be turned every half hour; as soon as they could swallow, warm
tea was given them, which evacuated their stomachs, and they gradually
recovered, as people do from less degrees of intoxication.
M. M. Cupping on the occiput. Venesection once in moderate quantity. Warm
fomentations long continued and frequently repeated on the shaved head.
Solution of aloes. Clysters with solution of aloe and oil of amber. A
blister on the spine. An emetic. Afterwards the bark, and small doses of
chalybeates. Small electric shocks through the head. Errhines. If small
doses of opium?
17. _Mors a frigore._ Death from cold. The unfortunate travellers, who
almost every winter perish in the snow,
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