342 PRACTICE OF PHYSIC. 



death : and, in such a case, the appearances upon dissection 

 might lead us to think that the apoplexy had depended entirely 

 upon compression. 



MCXXI. The several causes mentioned in MCXV. are 

 often of such power as to occasion immediate death ; and there- 

 fore have not commonly been taken notice of as affording in- 

 stances of apoplexy ; but, as the operation of the whole of 

 these causes is similar and analogous, and as, in most instances 

 of the operation of these causes, an apopletic state is manifestly 

 produced, there can be little doubt in considering most of the 

 instances of their effects as cases of apoplexy, and therefore 

 such as fall properly under our consideration here. 



MCXXII. This disease of apoplexy is sometimes entirely 

 recovered from, but more frequently it ends in death, or in a 

 hemiplegia. Even when an attack of the disease is recovered 

 from, we generally find it disposed to return ; and the repeated 

 attacks of it almost always, sooner or later, bring on the events 

 we have mentioned. 



MCXXI II. The several events of this disease in health, 

 death, or another disease, may be expected and foreseen from a 

 consideration of the predisponent circumstances (MXCV.); of 

 the antecedent symptoms (MXCVL); of the exciting cases 

 (MXC VIII.) ; of the violence and degree of the symptoms when 

 the disease has come on (MXCIV.); of the duration of the 

 disease ; and of the effects of the remedies employed. 



MCXXIV. From the great danger attending this disease 

 when it has come on (MCXXII.), it will readily appear that 

 our care should be chiefly directed to the prevention of it. 

 This, I think, may be often done by avoiding the remote and 

 exciting causes ; and how this may be accomplished, will be 

 obvious from the enumeration of those causes given above 

 (MXCVIIL). But it will also appear from what is said 

 above, that the prevention of this disease will especially depend 

 upon obviating the predisponent cause, which, in most cases, 

 seems to be a plethoric state of the blood-vessels of the brain. 

 This, I think, may be obviated by different means; and, in the 

 first place, by a proper management of exercise and diet. 



MCXXV. The exercise ought to be such as may support 

 the perspiration, without heating the body or hurrying respira- 



