354 PRACTICE OF PHYSIC. 



means proposed (MCXXV. et seq.) for the prevention of apo- 

 plexy. 



MCLII. Upon the same grounds, the Cure of palsy must be 

 very much the same with that of apoplexy (MCXXX. et seq.) ; 

 and, when palsy has begun as an apoplexy, it is presumed, that, 

 before it is to be considered as palsy, all those several remedies 

 have been employed. Indeed, even when it happens, that, on 

 the first attack of the disease, the apoplectic state is not very 

 complete, and that the very first appearance of the disease is as 

 a hemiplegia, the affinity between the two diseases (MCXLIV.) 

 is such as to lead to the same remedies in both cases. This is 

 certainly proper in all those cases in which we can with much 

 probability impute the disease to compression ; and it is indeed 

 seldom that a hemiplegia from internal causes comes on but 

 with a considerable affection of the internal, and even of the 

 external senses, together with other marks of a compression of 

 the origin of the nerves. 



MCLII I. Not only, however, where the disease can be im- 

 puted to compression, but even where it can be imputed to 

 the application of narcotic powers, if the disease come on with 

 the appearances mentioned at the end of last paragraph, it is 

 to be treated in the same manner as an apoplexy by MCXXXI. 

 MCXXXIX. 



MCLIV. The cure of hemiplegia, therefore, on its first at- 

 tack, is the same, or very nearly the same, with that of apoplexy ; 

 and it seems requisite that it should be different only, 



1. When the disease has subsisted for some time ; 



2. When the apoplectic symptoms, or those marking a con- 

 siderable compression of the origin of the nerves are removed ; 

 and, particularly, 



3. When there are no evident marks of compression, and it 

 is at the same time known that narcotic powers have been ap- 

 plied. 



MCLV. In all these cases, the question arises, Whether 

 stimulants may be employed, or how far the cure may be en- 

 tirely trusted to such remedies ? Upon this question, with re- 

 spect to apoplexy, I have offered my opinion in MCXXXVI. 

 And, with respect to hemiplegia, I am of opinion that stimulants 



