DISEASES CLASS III. 1. 2. 18. 



tendant on other insanities, and as, whenever it appears, it dis- 

 tinguishes insanity from delirium, it is generally a good sign in 

 fevers with debility. 



An injury voluntarily inflicted on us by others excites our ex- 

 ertions of self-defence or of revenge against the perpetrator of it; 

 but anger does not succeed in any great degree unless our pride is 

 offended; this idea is the maniacal hallucination, the pain of which 

 sometimes produces such violent and general exertions of our 

 muscles and ideas, as to disappoint the revenge we meditate, and 

 vainly to exhaust our sensorial power. Hence angry people, if 

 not farther excited by disagreeable language, are liable in an hour 

 or two to become humble, and sorry for their violence, and will- 

 ing to make greater concessions than required. 



M. M. Be silent when you feel yourself angry. Never use 

 loud oaths, violent upbraidings, or strong expressions of counte- 

 nance, or gesticulations of the arms, or clenched fists; as these 

 by their former associations with anger will contribute to in- 

 crease it. I have been told of a sergeant or corporal, who be- 

 gan moderately to cane his soldiers, when they were awkward 

 in their exercise, but being addicted to swearing and coarse lan- 

 guage, he used soon to engage himself by his own expressions of 

 anger, till toward the end he was liable to beat the delinquents 

 unmercifully. 



18. Rabies. Rage. A desire of biting others, most frequently 

 attendant on canine madness. Animals in great pain, as in the 

 colica saturnina, are said to bite the ground they lie upon, and 

 even their own flesh. I have seen patients bite the attendants, 

 and even their own arms, in the epilepsia dolorifica. It seems 

 to be an exertion to relieve pain, as explained in Sect. XXXIV. 

 1. 3. The dread of water in hydrophobia is occasioned by the 

 repeated painful attempts to swallow it, and is therefore not an 

 essential or original part of the disease called canine madness.- 

 See Class III. 1.1. 15. 



There is a mania reported to exist in some parts of the east, in 

 which a man is said to run a muck; and these furious maniacs 

 are believed to have induced their calamity by unlucky gaming, 

 and afterwards by taking large quantities of opium; whence the 

 pain of despair is joined with the energy of drunkenness; they are 

 then said to sally forth into the most populous streets, and to 

 wound and slay all they meet, till they receive their own death, 

 which they desire to procure without the greater guilt, as they 

 suppose, of suicide. 



M. M. When there appears a tendency to bite in the pain- 

 ful epilepsy, the end of a rolled up towel, or a wedge of soft 

 wood, should be put into the mouth of the patient. As a bullet 



