Tribune Extras Lecture and Letter Scries. 



faith in the patient In those cases Is the princlp il med 

 . P!aei:: II- in vcrv lint water, as Dr. Or;-- 



ha- . fo-.nni, will slop tUo tit. Other iii-Mii-. - the 



application o . >( til'' lieelC when tin- pa- 



tient <;oi':> nt e*" t it, will iiN'i Micee,-:!. A liiMturo 



ti.-il very I.,'!.'.. arO i: >l the limb in:i\ .-tip[i tin- attack. 

 All the iiiciii:.s of counter-irritation in iv In- trie, I 

 l!ut in tie iere itia not t I lie mind that 



tin- atta' k 1.1 be-iiu, it must in: through a direct iuflu- 

 caee CM rteii if tne transmlssloa of nerve ;.mi- tn ti.e 



Dells tint v.er :iei;ve, tins caiiMiig :m arrest. C.nalep.sv 

 iu:iv iif -topped in tin- s in,. w.iy. Dr. King f "ind tii;ir 

 by (1 rawing u:i th !i:r/< r u: OU6 ol ln> \> Mi )Ut8 In- ai v, .1 \ s 

 succeeded in st"pp:n ! " ' " - I ll:1Vl ' Sl ' cu ouo 



I" the kind n .. i]J. M.uiy other iiiciius in:iy be sue 

 cuipl >y- .1 n- . as Well as hysteria. 



XKUVE DERANGEMENTS POTJBTH LEC- 

 TURE. 



trii.r.r-v, IN-\MIY, I'AUALYSIS, AND HYSTERICAL. 



,\i i i ; II ING TIIE HEAD OPEN NOT NE- 



- UlY IN Ok* lillAIN DISEASE EXPKKI- 



:.ir.M> ON i-i.i \rir.vn:i> MEN MOVEMENTS OF 



Hill l!i>l-Y Ilol RS .U 1KU 1>EATI1 A CASK Ol'" 

 I . 8 rA8Y. 



BOSTON. ''. .Those wbo braved a night's 



vi 'lent st"i in t<> hear l>r. Hrown-Se'qtiard were dis- 



ai>!'i>int' d if tli-y 1 a dry season at {!n- 



Luwi-11 I:i>,titii:i-. Tlie lecture was as instructive 



un<l a i-.ii r; :ii'ii:i', r :i^ t !mso that preceded it. 



LA: i.. ITI.EMEIT: I tried Uut Wednesday night 



! in:i.i\- disorders >a our system 



mav result i' ri i in i i^o or iirrest of the activity of 



r. I shall uow concludo this 

 jiirtipf in.\ ' >". i -i t. T tuiitis or lock-jaw is one of the 



n i n \ nl -iv i- ; II r s v. i.i-ii can be slopped immediately 



by certs i-.uiiiu^ from certain parts of the 



8\.-tin:. Tin- Kind <>!' t'-iiinus that stiychuine will 

 a lie htopp.-d at ouce, as Rosen- 

 thai lias <! !, l.y insiiPJ.atiuir air into the 



liiti^--. li'- :lin.i :r t iiat it was the oxygen that stopped 

 tin- ii'tai -i; ; 1. 111 I lia% r e asccrtaiiictl that carbonic acid 

 will a^n -tup tin- C.I:.V I .NUJIIS. Iu the same way other 

 l>h\ . - h ivo usi-ertaiued thiit a current of tralv.m- 



i-in ' MI :i peculiar manner will, iu many iu- 



. tup t !' tri ini.s i xriioj by strychnine; not nl- 

 .iii.'iln- iiuiinal, but Icnirihcuiiiff the life and 

 L-'vnura of recovery. Tetanus, which comes 



from \>miinl- or n iun.-s to ncrvc.s, nriy also he 8topped. 

 < 'him oiurin, i . i ulong ilio spinn or takeu iu- 



terna 1 . n b tb i-a.scj nniy iroduce an irritation or 

 11 I a'-' "'i tlio cells of pray matter in the 

 i-pnial i-m-d. SD that the meehaulain of the urresi 

 ol con viil-iniir in t,-t:iniis in Just the- same 

 us tin- im -i-ii.-ini- :n of tli' arrest of tlio heart 

 int! ' the L- i 1 v.ui:z it. mi of tlio pai' Tugum in the 



. I have iilic.rh mi-ill ion. -il that opllepsv can be, 

 Miippeit hy a inn |I.I:M-III <' tiiai Kind. And I may add 

 that v.lirn an nit.H'!, ol rjii ep.-y is to be^in, when then- 

 lire certain M- mplitins iinlu alini,' it, a urcat liiiiny in -an -, 

 I e in I. i; .| tu prevent it. An irritation ol 

 nyjiartof the t-'.-m m.i> In -ulli -ii-nt to stop an 

 K. .ui'l tin- in .1 I'lnii llseir in i\ in- oi ,i great many 



Mini-. Ye In facn Individual case H U tmpofl- 



-ill BtO a i-ni'i-i lii.it one ini-lli 'd tli.it h.ih Mii-'-i-i-led 



:i oilier parii'iit.i will Biicc'-i -d with the 

 . . to ii(.-;il \\lth. 



TI.IT. TIir.dHV OF LIGATURE IN EPILEPSY. 



Thete ine c:!~e.s iii which there is what is called an 

 aura starting froni a limb. From tha time of Qaica to 

 out own, it has becu shown a treat many tisies that a 

 ligature bound around the limb iu which this influence 

 tak'-., plan-, will stop the fit. The supposed philosophy 

 a was that something started from the limb 

 that went in tin- brain, and that the liiraturo bcin.i: ap- 



I prevented that something from imssmt:. I have- 

 siio\\n that the proi-ess hy which the attack is prevented 

 i- jn>r the opposite of that. Iiistead of preventing 

 -'iim- thin^ from [1:1 siii^', the Heat urp irritates the ncrvea 

 in I ho tkiu and Bi'iul.s a current toward tlio braiu 

 chaDglng the state of the cells tbere aud preventir.?; an 

 att.iek. This has li-^en sliowu very clearly indeed in a 



i inanv in.-taiiees Ci it I have seen, especially since 

 18C i, '.vlien I Wiis connected with the Ilospitiil for Sp.lep- 

 sy, 01 Lunlon. At that h.ispital I had a vtrv Intelli- 

 Brenl nuv-e, to wliiiin I had t,'iveii the proper directions. 

 Tiiere were three or four patients there, who had tnis 

 partienliir kind of sy inpt'.iin. In these cases, when the 

 nurse was not far from the patient, or \vh"ii ehn had 

 : line to In- called to them, sha invariably prevented the 

 iiliaek. In on.>, of tuoso cases, that oC a clergyman's 

 daughter, there vas paralysis oa one side or the body 

 and coiivulMim.s, chielly in thu itiralyzed limiis, extend- 

 iag to the feet; always beginning hy the contraction, 

 of the foot on that si le. As soon as the nurse heard that 

 :iii attack was pending, she rushed to her patient, 

 uiid immediately pinched her first; on the foot or 

 leg of the side which was to be convulsed, and afterward 

 on the healthy side. In every case the patioiic was 

 saved. Still, it is not a rule that the flt will bo stopped 

 ttheu there is such an aura. Sometimes the ligature 

 and the piiieh will fail, and other means must be used. 

 F,r instance, iu patieuts having some trouble internally, 

 the relief is found iu giving at oie-e something which 

 will irritate the nerves of the stomach very powerfully : 

 either brandy, or jj-in, or ruin, or ammonia, or some sim- 

 ilar medicine. And if the . stomach be empty the chance 

 of preventing an attack is greater. An immense num- 

 ber of facts show that it is a'mo<t always possible to 

 sava epileptic patients from an attach il tin-re is time 

 enough to apply the proper means. There are 

 other facts which show that nu atta ;k mav 

 not only be prevented, bat that epilepsy may 

 be cure 1 1 }>\~ mean ; iif irrit.it ion of certain nerves in the 

 periphery of the liodv. Unfortunately, however, the 

 menus that I now mention, though they hi^re been acci- 

 I;-:, tally emplo\ e I with great success, are too hazardous 

 tube generally employed. There aro many cases ol 

 epilepsy that have bei'n cured hv a mere accidental 

 burning, by a fracture of the limb or by the wounding 

 of a limb or part of the trunk. Iu fact, an irritatit.A in 

 any part of tue system may sometimes be the means ot 

 curing. Unloi innately, wo do not 1 now wln-n wo deal 

 with epileptic p. uieiils what ehan.-i' there will be iu irri- 

 tating one part rat her than anot her, :md wo cannot tor- 

 men t our i r pat n-:it to death by trying the whole sur- 

 face of the iiody to seo what will best serve to irritate 

 the nervous centers. 



CUUIXO INSANITY BY IRUITATINO Till' NF.KVE3. 



Another kind of stoppage or arrest ot the activity ol 



oplls consists in the arrest of the ''HI :i--nviiy of the 



brain. In treating of epilepsy I have >p->i;e,i partly ol 



this si i bj >>ci, but w!i-it I h.ive in s.i v no-.v is d i -iti net fron: 

 what I hiive previously Siiul. T.iku a ])atient who i( 

 insane. T.:, r :u-n m.iu.v eases piihiished iu l.ho medloiil 

 Inuriial-, relating to in.sanit v, snowing I II it a 1 irite nuiu- 

 Uer of patients have boon cured suddenly by means ol 



