020 DISEASES AND TlIElll TllJOATMEXT. 



the second stage, wlien the pulse becomes quick, gcner.al excitement 

 takes the place of lethargic stupor; the countenance is wild and ex- 

 cited looking ; the eyes are blood-shot and staring ; delirium sets in ; 

 he dashes himself furiously about, reels and staggers, often throws 

 himself violently down ; lies trembling, blowing, and convulsed ; liis 

 blood-shot eyes like to start out of their sockets; he will soon get 

 up, rear and plunge forward, breaking everything around him; 

 evidently unconscious of the inj uries he is sustaining ; and, what is 

 characteristic of the complaint, his destruction is carried on evi- 

 dently without purpose, as is evinced in rabies, or madness. The 

 convulsions become more frequent and continuous, and death ends 

 his misery in from twenty to twenty-four hours. 



Treatment. — Copious blood-letting must be at once resorted 

 to; no time should be lost in giving a strong dose of purgative 

 medicine. One or both jugulars may be opened, or where, from the 

 restlessness of the patient or danger in working about him, this is 

 impracticable, the lancet should be plunged into the temporal ar- 

 tery, which will be found about three inches below the ear, be- 

 tween it and the nostril. 



The following drench should be given: — 



drachms Barbadoes aloes, 

 i oz. carbonate of soda, 

 15 croton beans finely powdered, 

 Shaken up in a qnart of Avarm water. 



Three drachms of aloes may ha given every three hours with co- 

 pious injections every hour, till the bowels are freely opened. Sed- 

 atives should also be used, such as extract of hyoscyamus and cal- 

 omel, a drachm of each shaken up in a little thin gruel, given every 

 two hours. Seldom is repetition of blood-letting advisable; cold 

 water should be constantly applied to the head ; a small hose made 

 to play upon it in a constant stream, Avhere it is convenient, will 

 be found very useful. 



The favored prescription of a very successful practitioner is: 

 " Give on the tongue every six hours about 1 drachm of the extract 

 of conium." He gave this after falling. 



Dr. Somerville's explanation and treatment of this difficulty 



are so plain and good, that I include them : — 



" Is first noticeable by dullness or sleepiness of the eyes, an un- 

 willingness to move, general heaviness of the system. This diseasQ 



