3 oS DISEASES CLASS III. i. 2. i. 



know again the bleffing to be warm.** He complained of cold 

 all the next day, and wore an upper coat, and in a few days 

 another, and in a fortnight took to his bed, always faying nothing 

 made him warm, he covered himfelf with very many blankets, 

 and had a fieve ever his face, as he lay ; and from this one in- 

 fane idea he kept his bed above twenty years for fear of the cold 

 air, till at lengih he c; 



M. M. As mania arifes from pain either of our jrmfcles or 

 organs of fenfe, the arts of relieving pain muft conftitute the 

 method of cure. See Sea. XXXIV. 3. 4. Venefedion. 

 Vomits of from five grains to ten of emetic tartar, repeated ev- 

 ery third morning for three or four times j with folution of 

 gum ammoniac, and folubie tartar, fo as to purge gently every 

 day. Afterwards warm br.ch for two or three hours a day. 

 Opium in iarj.;e dofes. Bark. Steel. 



Dr. Binns gave two fcruples (40 grains) of folid opium at a 

 dofe, and twenty grains four hours afterwards ; which reftored 

 the patient. Dr. Brandreth gave 400 drops of laudanum to a 

 maniac in the greateft poflible furor, and in a few hours he be~ 

 came calm and rational. Med. Comment, for 1791, p. 384. 



Prognoftic. 



THE temporary quick pulfe attending fome maniacal cafes is 

 (imply a fymptom of debility, and is the confequence of too 

 great exertions ; but a permanent quick pulfe {hews the pref- 

 $nce of fever, and is frequently a falutary fign ; becaufe, if the 

 life of the patient be fafe, when the fever ceafes, the infanity 

 generally vanifhes along with it, as mentioned above. In this 

 cafe the kind of fever muft direct the method of curing the in- 

 fanity ; which muft confift of moderate evacuations and diluents, 

 if the pulfe be ftrong ; or of nutrientia, bark, and fmall dofes 

 of opium, if the pnlfe be weak. 



Where the caufe is of a temporary nature, as in puerperal 

 infanity, there is reafon to hope, that the dileafe will ceafe, 

 when the bruifes, or other painful fenfations attending this ilate, 

 are removed. In thefe cafes the child (hould be brought fre- 

 quently to the mother, and applied to her breaft, if fhe will fuf- 

 fer it, and this whether me at firft attends to it or not ; as by a 

 few trials it frequently excites the ftorge, or maternal affection, 

 and removes the infanity, as I have witneffed. 



When the madnefs is occafioncd by pain of the teeth, which 

 I believe is no uncommon cafe, theie muft be extracted ; and 

 the cure follows the extinction of the pain. There is however 

 iome difficulty in detecting the delinquent tooth in this cafe 3 as 



in 



