338 DISEASES CLASS III. 2. 1. 10, 



tines by the retrograde motions of the lacteals; as probably 

 sometimes happens in diabetes. See Sect. XXVII. 2. Palsy of 

 one side of the face is mentioned in Class II. 1.4. 6. Paralysis 

 of the lacteals, of the liver, and of the veins, which are describ- 

 ed in Sect. XXVIII. XXX. and XXVII. do not belong to this 

 class, as they are not diseases of voluntary motions. 



M. M. The electric sparks and shocks, if used early in the 

 disease, are frequently of service. A purge of aloes, or calo- 

 mel. A vomit. Blister. Saline draughts. Then the bark. 

 Mercurial ointment or sublimate, where the liver is evidently 

 diseased; or where the gutta rosea has previously existed. Sud- 

 den alarm. Frequent voluntary efforts. Externally ether. 

 Volatile alkali. Fomentation on the head. Friction. When 

 children, who have suffered a hemiplegia, begin to use the af- 

 fected arm, the other hand should be tied up for half an hour 

 three or four times a day; which obliges them at their play to 

 use more frequent voluntary efforts with the diseased limb, and 

 thus sooner to restore the dissevered associations of motion. 



In hemiplegia, as well as toward the end of some fevers with 

 great debility, the parts about the loins are liable to mortify by 

 the pressure of a continued recumbency upon them, and in part 

 by the friction of those parts against the sheet, as the patient 

 slides down again after being frequently raised higher in his bed ? 

 to prevent which a pillow should be put beneath the under- 

 sheethalf way down the bed, as in Class JI. I. 2. 4. A solu- 

 tion of sugar of lead, or white lead in fine powder, or a cerate 

 of lapis calaminaris, contributes to heal or to prevent these ex- 

 coriations. But the most efficacious preventive consists in the 

 patient's wearing a pair of linen drawers; by which means, 

 when he slides down in his bed, the friction will be between the 

 sheet and his drawers, not between the sheet and his skin; and 

 this greater friction will in general prevent his sliding down in 

 bed, when his head and shoulders are raised on more pillows, 

 which will on this account also contribute much to his comfort; 

 this is also worthy the attention of ihose dropsical patients, who 

 are necessitated to lie with the head raised high in bed. 



When these patients have any difficulty of swallowing, they 

 should be raised up when any fluid is put into the mouth, lest it 

 should suffocate them. See' Apoplexia, No. 16. Nor should 

 young children be fed as they lie on their backs, as they are 

 then obliged to swallow as much as the nurse pleases; like one 

 of the punishments formerly used in the inquisition, where the 

 delinquent was made to swallow many quarts of water, as he 

 ivas chained down on his back, and was suffocated by it. 



In paralysis of the wrists from lead, Mr. Clutterbuckhas lately 



