530 PRACTICE OF PHYSIC. 



many cases of general insanity, there is one subject of anger 

 or fear, upon which the false judgment more particularly turns, 

 or which is at least more frequently than any other the prevail- 

 ing object of delirium : and though, from the inconsistency 

 which this principal object of delirium must produce, there is, 

 therefore, also a great deal of insanity with regard to most other 

 objects ; yet this last is in very different degrees, both in differ- 

 ent persons, and in the same person at different times. Thus, 

 persons considered as generally insane, will, however, at times, 

 and in some cases, pretty constantly judge properly enough of 

 present circumstances and incidental occurrences ; though, when 

 these objects engaging attention are not presented, the opera- 

 tions of imagination may readily bxing back a general confu- 

 sion, or recall the particular object of the delirium. From these 

 considerations, I am inclined to conclude, that the limits be- 

 tween general and partial insanity cannot always be so exactly 

 assigned, as to determine when the partial affection is to be con- 

 sidered as giving a peculiar species of disease, different from a 

 more general insanity. 



MDLXXVI. When insanity, neither strictly partial, nor 

 entirely nor constantly general, occurs in persons of a sanguine 

 temperament, and is attended with agreeable, rather than with 

 angry or gloomy emotions, I think such a disease must be con- 

 sidered as different from the Mania described above ; and also, 

 though partial, must be held as different from the proper Mel- 

 ancholia to be mentioned hereafter. 



MDLXXVI I. Such a disease, as different from those de- 

 scribed MDLIV., requires, in my opinion, a different adminis- 

 tration of remedies ; and it will be proper for me to take partic- 

 ular notice of this here. 



Although it may be necessary to restrain such insane persons 

 as we have mentioned MDLXXVI. from pursuing the ob- 

 jects of their false imagination or judgment, it will hardly be re- 

 quisite to employ the same force of restraint that is necessary in 

 the impetuous and angry mania. It will be generally sufficient 

 to acquire some awe over them, that may be employed, and 

 sometimes even be necessary, to check the rambling of their im~ 

 agination, and incoherency of judgment. 



MDLXXVJII. The restraint just now mentioned as neces- 



