CLASS I. 2. 1. 10. OF IRRITATION. 



spoonful; and return at first periodically, as about once a 

 month; and are less dangerous in the female than in the male 

 sex; as in the former they are often relieved by the natural pe- 

 riods of the menses. Many of these patients are attacked with 

 this pulmonary haemorrhage in their first sleep; because in fee- 

 ble people the power of volition is necessary, besides that of irri- 

 tation, to carry on respiration perfectly; but, as volition is sus- 

 pended during sleep, a part of the blood is delayed in the ves- 

 sels of the lungs, and in consequence effused, and the patient 

 awakes from the disagreeable sensation. See Class I. 2. 1. 3. 

 II. 1.6. 6. III. 2. 1. 10. and Sect. XXVII. 2. 



M. M. Wake the patient every two or three hours by an 

 alarum clock. Give half a grain of opium at going to bed, or 

 twice a day. Onions, garlic, slight chalybeates. Issues. Leeches 

 applied once a fortnight or month to the haemorrhoidal veins to 

 produce a new habit. Emetics after each period of haemoptoe, 

 to promote expectoration, and dislodge any effused blood, which 

 might by remaining in the lungs produce ulcers by its putridity. 

 A hard bed, to prevent too sound sleep. A periodical emetic or 

 cathartic once a fortnight. 



10. Palpitatio cordis. The palpitation of the heart frequently 

 attends the hsemoptoe above mentioned; and consists in an in- 

 effectual exertion of the heart to push forwards its contents in 

 due time, and with due force. The remote cause is frequently 

 some impediment to the general circulation; as the torpor of 

 the capillaries in cold paroxysms of fever, or great adhesions of 

 the lungs. At other times it arises from the debility of the action 

 of the heart owing to the deficient sensorial power of irritation 

 or of association, as at the approach of death. 



In both these cases of weak exertion the heart feels large to the 

 touch, as it does not completely empty itself at each contraction; 

 and on that account contracts more frequently, as described in 

 Sect. XXXII. 2. 2. Another kind of palpitation may sometimes 

 arise from the retrograde motions of the heart, as in fear. See 

 Class I. 3. 1.2. and IV. 3. 1. 6. 



11. JMenorrhagia. Continued flow of the catamenia. The 

 monthly effusion of blood from the uterus or vagina is owing to 

 a torpor of the veins of those membranes in consequence of the 

 defect of venereal stimulus; and in this respect resembles the 

 mucus discharged in the periodical venereal orgasm of the female 

 quadrupeds, which are secluded from the males. The nienorr- 

 hagia, or continued flow of this discharge, is owing to a con- 

 tinued defect of the venous absorption of the membranes of the 

 uterus or vagina. See Class IV. 2. 4. 7. 



M. M. Venesection in small quantity. A cathartic. Then 



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