VESANIAS. 531 



sary, will generally require the patients" being confined to one 

 place, for the sake of excluding the objects, and more partic- 

 ularly the persons, that might excite ideas connected with the 

 chief objects of their delirium. At the same time, however, if 

 it can be perceived there are objects or persons that can call off 

 their attention from the pursuit of their own disordered imagina- 

 tion, and can fix it a little upon some others, these last may be fre- 

 quently presented to them ; and for this reason, a journey, both by 

 its having the effect of interrupting all train of thought, and by pre- 

 senting objects engaging attention, may often be useful. In such 

 cases also, when the insanity, though more especially fixed upon 

 one mistaken subject, is not confined to this alone, but is further 

 apt to ramble over other subjects with incoherent ideas, I appre- 

 hend the confining or forcing such persons to some constant uni- 

 form labour, may prove an useful remedy. 



MDLXXIX. When such cases as in MDLXVI. occur in 

 sanguine temperaments, and may therefore approach more near- 

 ly to Phrenitic Delirium ; so, in proportion as the symptoms of 

 this tendency are more evident and considerable, blood-letting 

 and purging will be the more proper and necessary. 



MDLXXX. To this species of insanity, when occurring in 

 sanguine temperaments, whether it be more or less partial, I 

 apprehend that cold bathing is particularly adapted, while in 

 the partial insanity of melancholic persons, as I shall show here- 

 after, it is hardly admissible. 



MDLXXXI. Having thus treated of a species of insanity, 

 different, in my apprehension, from both the Mania and Mel- 

 ancholia, I proceed to consider what seems more properly to be- 

 long to this last. 



MDLXXXI I. The disease which I name Melancholia, is 

 very often a partial insanity only. But as, in many instances, 

 though the false imagination or judgment seems to be with re- 

 spect to one subject only, yet it seldom happens that this does 

 I not produce much inconsistency in the other intellectual opera- 

 tions. And as, between a very general and a very partial in- 

 sanity, there are all the possible intermediate degrees ; so it will 

 be often difficult, or perhaps improper, to distinguish Melancho- 

 lia by the character of Partial Insanity alone. If I mistake 

 not, it must be chiefly distinguished by its occurring in persons 



