PARALYSIS. 141 



bated. Something must be allowed to time, and the powers of 

 nature. 



If the patient's face is cold, the carotids beating feebly, and the 

 patient approaching a state of syncope, considerable caution must be 

 used in abstracting blood. Purgatives should first be given, with 

 small doses of ammonia, and sinapisms be applied to the feet — when 

 the circulation has recovered its force, blood may be taken by cup- 

 ping from the nape of the neck, and blisters be applied behind the 

 ears, or to the nape of the neck. 



When an attack of apoplexy is known to follow habitually if the 

 stomach is loaded with indigestible food, an emetic of sulphate of 

 zinc may be given, as it evacuates the stomach with the least pos- 

 sible straining. 



PARALYSIS. 



The most characteristic symptom of cerebral hemorrhage is para- 

 lysis. Very slight effusion produces this effect, and in general its 

 intensity is in the direct ratio of the extent of the effusion. Para- 

 lysis may also arise from diseases of the brain, or its membranes, 

 injuries of the brain or the spinal cord, diseases of the spinal cord or 

 its membranes, pressure on, or injury of, the large nervous plexuses, 

 the action of lead, &c. 



Paralysis has been divided into several varieties: — 1st, paralysis 

 of the nerves of motion ; 2d, paralysis of the nerves of sensation ; 

 3d, hemiplegia^ which implies the existence of paralysis on one side 

 of the body; 4th, ^aro;^;7ro^m, which signifies that the lower extre- 

 mities are paralysed ; and 5th, partml paralysis, as of the muscles 

 of the mouth, or of an extremity ; 6th, ge^ieral paralysis, when the 

 two sides of the body, whether in their entire extent or in some of 

 their parts, are at once deprived of motion. 



PARALYSIS FROM CEREBRAL HEMORRHAGE. 



This form of paralysis developes itself at the very moment the 

 effusion of blood takes place in ordinary apoplexy ; acquires all at 

 once its highest degree of intensity ; then remains stationary, or be- 

 gins to diminish. Sometimes the paralysed part has not previously 

 experienced any disturbance with respect to either sensation or 

 motion ; sometimes, on the contrary, the patient has experienced in 

 these parts pricking sensations, numbness, permanent or transient, 

 an unusual feeling of cold, a sense of weight, and a certain degree 

 of debility. These different phenomena may announce two things 

 — either the existence of constant lesion in the same point of the 

 brain where, at a later period, the hemorrhage shall take place, — as 

 simple habitual sanguineous congestion ; a softening which is still 

 inconsiderable ; or a tumour ; or else the more or less frequent re- 

 turn of a more serious congestion in the part of the brnin where the 

 blood is to be effused. ■ ^ 



