3c8 IUSEASES Class III. i. 2. 1. 



know again the blefnng to be warm." He complained of cold 

 all the next day, and wore an upper coat, and in a few days 

 another, and in a fortnight took to his bed, always faying nothing 

 made him warm, he covered himfelf with very many blankets, 

 and had a fieve over his face, as he lay j and from this one in- 

 fane idea he kept his bed above twenty years for fear of the cold 

 air, till at length he died. 



M. M. As mania arifes from pain either of our mufcles or 

 organs of fenfe, the arts of relieving pain muft conftitute the 

 method of cure. See Sect. XXXIV. 3. 4. Venefection. 

 Vomits of from five grains to ten of emetic tartar, repeated ev- 

 ery third morning for three or four times; with folution of 

 gum ammoniac, and foluble tartar, fo as to purge gently every 

 day. Afterwards warm bath for two or three hours a day. 

 Opium in large dofes. Bark. Steel. 



Dr. Binns gave two fcruples (40 grains) of folid opium at a 

 dofe, and twenty grains four hours afterwards ; which reftqred 

 the patient. Dr. Brandreth gave 400 drops of laudanum to a 

 maniac in the greateft poflible furor, and in a few hours he be-» 

 came calm and rational. Med. Comment, for 1791, p. 384. 



Prognostic. 



The temporary quick pulfe attending fome maniacal cafes is 

 {imply a fymptom of debility, and is the confequence of too 

 great exertions ; but a permanent quick pulfe {hews the pref- 

 ence of fever, and is frequently a falutary fign j becaufe, if the 

 life of the patient be fafe, when the fever ceafes, the infanity 

 generally vanifhes along with it, as mentioned above. In this 

 cafe the kind of fever muft direct: the method of curing the in- 

 fanity j which mud confift of moderate evacuations and diluents, 

 if the pulfe be ftrong ; or of nutrientia, bark, and fmall dofes 

 of opium, if the pwlfe be weak. 



Where the cauie is of a temporary nature, as in puerperal 

 infanity, there is reafon to hope, that the diieafe will ceafe, 

 when the bruifes, or other painful fenfations attending this ftate, 

 are removed. In thefe cafes the child mould be brought fre- 

 quently to the mother, and applied to her breaft, if fhe will fuf- 

 fer it, and this whether fhe at lirft attends to it or not ; as by a 

 few trials it frequently excites the {torge, or maternal affection, 

 and removes the infanity, as I have witnefTed. 



When the madnefs is occafioned by pain of the teeth, which 

 I believe is no uncommon cafe, thefe muft be extracted ; and 

 the cure follows the extinction of the pain. There is however 

 fome difficulty in detecting the delinquent tooth in this cafe 3 as 



in 



