3 DR. CHASE'S RECIPES. 



third day, including that on -which the former paroxysm occurred, it is called 

 a tertian; if every fourth day, a quartan. Several minuter varieties occur, 

 ■with which it is unnecessary to trouble the general reader. Remedy, pages 

 86, 87, 88, 89, 90, 91, 123. 



APOPLEXY. — A disease in which the patient suddenly falls down, 

 deprived of sense and motion; and which, in all languages, derives its name 

 from the sudden manner of its attack, as if the patient were struck down by 

 •ome invisible hand, by lightning, or some other agent equally sudden and 

 violent. 



Symptoms.— K person seized with apoplexy in its most perfect form, sud- 

 denly falls down, deprived of sense and motion, breathes heavily, and with a 

 snoring sound; sometimes convulsions occur, and foam issues from the mouth. 

 The pulse is full and strong, a cold clammy sweat breaks out over all the 

 body; and the accumulating saliva, the bloated countenance, and the noisy 

 laborious breathing, combine to form a distressing spectacle. The disease is 

 not always so complete and violent, but varies in its symptoms, as is well 

 described by Dr. Abercrombie :— ' ' Sometimes the disease begins with a sudden 

 attack of violent pain in the head, the patient becomes pale, sick and faint, 

 generally vomits; and frequently, though not always, falls down in a state 

 resembling fainting, the face very pale, the pulse very small. This is some- 

 times accompanied by slight convulsion. In other cases he does not fall down, 

 the sudden attack of pain being only accompanied by slight and transient loss of 

 recollection. In both cases he recovers in a few minutes , is quite sensible, and 

 able to walk ; continues to complain of intense headache; after a considerable 

 time, perhaps some hours, becomes oppressed, forgetful, and incoherent, and 

 thus gradually sinks into deep sleep, from which he never recovers. In some 

 cases, palsy of one side occurs, but in others, there is no palsy. There is 

 another form of the disease, in which the patient is suddenly deprived of the 

 power of one side of the body, and of speech without stupor; or if the first 

 attack is accompanied with stupor, this soon goes off; he appears sensible of 

 his situation, and endeavors to express his feelings by signs. In some cases the 

 attack passes gradually into apoplexy, perhaps after a few hours; in others, 

 under the proper treatment, the patient recovers perfectly in a few days. In 

 many cases the recovery is gradual, and it is only at the end of several weeka 

 or months that the complaint is removed." 



It is a matter of very great difficulty to determine what is the particular 

 state of the brain which gives rise to the symptoms of apoplexy. Sometimes, 

 after a fatal case, when the head is opened, we find a large quantity of coagu- 

 lated blood, and we consider the pressure of this effused blood as completely 

 explaining what has happened. But in other cases which have ended fatally, 

 there is only a small quantity of fluid in some part of the brain; and in others, 

 even after very marked symptoms, no injury whatever, or deviation from the 

 healthy appearance, can be perceived in the brain. 



There are certain habits of body that seem more peculiarly disposed to 

 this disease. Men with short thick necks, large heads, and corpulent bellies, 

 especially after their thirty-fifth or fortieth year, are very frequently the sub- 



