332 PRACTICE OF PHYSIC. 



motions, are in some degree abolished ; while respiration, and 

 the action of the heart, continue to be performed. By its being 

 an affection of the whole of the powers of sense and of volun- 

 tary motion, we distinguish it from Palsy ; and by its being 

 with the continuance of respiration and the action of the heart, 

 it is distinguished from Syncope. I have further added to the 

 ordinary definition of apoplexy, that the abolition of the powers 

 of sense and motion, is in some degree only ; meaning by this 

 to imply, that, under the title of apoplexy are here compre- 

 hended those diseases which, as differing from it in degree only, 

 cannot, with a view either to pathology or practice, be properly 

 distinguished from it : Such are the diseases sometimes treated 

 of under the names of Carus, Cataphora, Coma, and Lethar- 

 gus. 



MXCV. Apoplexy, in all its different degrees, most com- 

 monly affects persons advanced in life, and especially those 

 above sixty years of age, It most usually affects persons of 

 large heads and short necks; persons of a corpulent habit; per- 

 sons who have passed an indolent life, and used a full diet, and 

 especially those who have indulged in frequent intoxication. 

 Men who have long laboured under a frequent and copious dis- 

 charge of blood from the haemorrhoidal vessels, upon either the 

 suppression or spontaneous ceasing of that discharge, are partic- 

 ularly liable to be affected with apoplexy. 



MXCVI. This disease frequently comes on very suddenly: 

 but, in many cases, it is preceded by various symptoms, such as 

 frequent fits of giddiness, frequent headachs, a hsemorrhagy 

 from the nose, some transitory interruptions of seeing and hear- 

 ing, some false vision and hearing, some transitory degree of 

 numbness or loss of motion in the extremities, some faultering 

 of the tongue in speaking, a loss of memory, a frequent drow- 

 siness, and frequent fits of incubus. 



MXCVII. An attention to these symptoms, and to the pre- 

 disponent circumstances (MXCV.), will often enable us to fore- 

 see the more violent attacks of this disease. 



MXCVIII. When the disease comes on suddenly to a consi- 

 derable degree, it has been frequently observed to have been im- 

 mediately induced by violent exercise ; by full and long-contin- 

 ued inspiration ; by a fit of anger ; by much external heat, 



