SECT. VII. PHYSIOLOGY. 53 
evr. The apoplectic stage may terminate fa- 
vourably in a brisk artificial re-action, often in 
death, and sometimes, though rarely, in hemi- 
plegia or hydrocephalus. 7 
evi. The excessive pain of the spasms may, 
I apprehend, be regarded as one of the causes of 
death, or the coma which precedes it. 
cviu. When a weak re-action succeeds a long 
cold stage, as in Stromberg’s case, the patient 
recovers his intellectual faculties for some time, 
but relapses sooner or later into apoplexy. 
- erx. The Hindoos frequently die of this. disease 
in one or two hours, and even Europeans have 
fallen victims to its severity in four or five from 
the commencement of the cold stage. 
‘cx. In the above description, I have regarded 
the purging which precedes the violent symptoms 
of the disease, as an essential part of it, as I have 
never seen one case in which there had not been 
one or more liquid stools before the invasion of 
the cold stage. The patient is, however, often 
unable to give any thing like an accurate account 
of his previous state, till after his recovery; little 
reliance can therefore be placed on any thing 
which he may utter while writhing with the 
agonies of the cold stage. 
cx. Dissection shows the blood-vessels of the 
brain and its membranes to be always greatly 
distended before death; serous effusions are also 
