MEDICINE. 



Frank*, commences by a peculiar feeling of anxiety, constant 

 ~. usj, and unaccountable timidity ,- to these succeed 



.f breathing, pain and constriction in the re- 

 gionof the stomach, and all over the abdomen, together 

 the characteristic symptom of an inability to 

 wallow fluid*, which soon extends to deglutition gene- 

 rally, and become* to distressing a* to imprest the 

 mind with extraordinary terror at the very idea of re- 

 newing the attempt. A* the disease advance* the pulse 

 become* weak and quick, and a degree of irregular fe- 

 ver upenrenea ; all the function* which depend upon 

 the nervous power an rendered morbidly acute ; there 

 iterance of light mini sound, the surface becumei 

 exquisitely sensible to the impression of cold air, while 

 toward* it trnniu 4i<m there ia a copious discharge of 

 no the fauces, the menul faculties are 

 deranged, and general convulsions, with a total de- 

 ttrurt i un of all the actions, both animal and organic, 

 are the '"v^'faTT forerunner* of diseeliitiiai The dis- 



pletion, from opium, or from mercury. Guided, how- Prsciier. 

 by the faint analogy which presents itself, we '""Y"'' 

 know of no treatment which i more promising, and 

 therefore feel justified in beginning with a very copious 

 bleeding, which i* to be followed by a powerful mer- 

 curial purgative, and when thin ha* operated, by Urge 

 dote* of opium, combined with an equal quant 

 TylwJ We think it extremely important that p> 

 quiet thould be enjoined, that all motion should, as 

 much a* possible, be avoided ; and especially all unne- 

 cessary touching or handling of the patient. I >n this 

 account we conceive that frictions may be injurious; 

 and indeed we think that any remedy which is merely 

 indifferent, and i not given to promote aume definite 

 purpose, ought to be abstained from, as likely to do 

 mischief, from the circumstance of its exciting the 

 pstient, or KU ing him any unnecessary cause for tin- 



i .t.'ii-r 



lenUl or hi* corporeal powers. 



i* rapid in it* course, and moat dreadful in it* 

 ymptom* and aspect, yet it* real horror* have been 

 , \ ... - -;. i . :....!- .! t :...u ..: t HJ*J 

 The account* which are met 



i the older writors. of the violent fury of the pa- 

 and of theii attempts to aaiie the by ttandcr*. 

 art probably altogether actitioa*; and the dread of 

 water, which ha* been viewed ia so mysterious a light, 

 is found to arise simply from the extreme uneasiness 

 and difficulty which ihr unhappy suiercr feel* in the 

 act of drgluUioa. 



.'i rrspect to the event of the ih'ims*. we believe 

 it to be always fatal ; nut enly ha* no care yet been 

 discovered for it, but it i* doubtful whether we are in 

 I ' ' ' ' '*'' 'I ' , - 



torn*, when once estahiihed, can rvrn be *\\r 

 The general mode of tmfnent ha* been the ad 

 tration of large qnantlties of opium, upon the obviowa 

 principle of the nervous sy stem being in a slat* of pre- 

 ternatural excitement ; mercury ha* been given under 

 various fbruM. but we know of no rational 

 either from theory or r\| which can lc*l 



rxprtt any benefit from 

 bleeding has been employed, 

 ciou* prospect of snccesa. Bnides th. 

 be considered a* the most powerful mnedies th*: 

 been had recourse to, a great variety of psllutivsa, and 

 a .till greater number of nostrum* have been mn ! 

 of; for in proportion to the violence and untractablr 

 nature of the disease, so has the credulity of iu., 

 led them to place confluence in the most gro< 

 scandalous imposition*. But although we nave had 

 such little success in the cure of Hydrophobia, we have 

 happily in our hand* a prevcntat 

 cjue* M of easy application, and of tolerably cert, 

 feet ; thin i* the notion of th* wounded part, and the 

 complete removal of every portion of the substance, 

 which can he (opposed to have been in contact 

 the saliva of the rabid animal. When, however 

 ha* bam neglected, when, from die situation of the 

 could not Iw accomplished, or when, from 



. ., : ..'..-.. 



I 



rs of so 



SECT. I If. Anlalgur. Painful nervous Affection*. 



We have formed our second genus of the order Ere- Autsl| T 

 thiema. of the Autalgi*. those ca.rs.f. which depend 



of the nervous system, 

 by severe pain and un- 

 in the part affected. These are frequently 

 bat we are often unable to perceive any 

 *nt to which they mar be referred ; 

 i* the case, the violence of their 

 ymptom* require our attention (a be immediate; 

 nciaa* la the local affection. The disease* which we 



.': , . V O ", Mi ', \ , :'..'. ' 



Pleurodyne. Gsetradynia, Arthopuost*. Sciatica, and 

 Pruritu*. to which we ought perhaps to add Lumbago. 

 From a view of this In it will appear that these affec- 

 tions are often attendant upon, or a consequence of m- 



arise from structunl de- 



yet we hare in some case* the most equi- 

 ' -ridenre, from the effect of remedies, that the 



in the nerves of the part. We parti- 

 \ refer to that mart painful alfrction IVosophal- 

 gi*. or as it i* popuUrly 



the disease may be clearly tr.ced along the course of a 

 particular nerve, and i at lrt for a certain period en- 

 tirely removed by dividing the trunk of the nerve. In 

 order to form a correct judgment of these complaint*, 

 it i* particularly necessary to make ourselves aciju 

 ed with their history and .ymptom. from the com- 

 T- wilt be danger of our con- 

 w ith the effect. In some of them, 

 .r derangement is most evident 

 the nervous *y*tem, we find obvious \ 

 crtasaJ action ia the blood vsjauls to su|x-rvfnr ; and 

 it evrn appears that a more permanent alteration in the 

 n organ may be produced by an amttion, 

 which, in UK- ftrt insunce, wa simply attached to the 

 nerves of the put. tt is difficult t.. explain the nature 

 of the operation by which a disease of the nerves is 

 "luiluJ into one of the anguiferou* or ecietury 



we vessel* 



and naturally inquire what plan of 



the beat prcapect of succms, or may 



gree calculated to relieve the stiferios 



To this question we are not able to 



ry answer; we do not place the 



any of the nnmemus .pccific. that have ln 



nor do we fW mmch more hopes ftam the 



VOt. HV. f tT I. 



but we ppr4trnrl there can be no doubt of the 

 frit, and we believe that it may be even affected by the 

 mere mflurnre of mental imui'tssions, if they be sufB- 



powerful and ateadUy dtrerted to the same 



ef ue. 



The cur. lUltrise necessarily depends upon 



a number ..t nstances which are . 



with the local situation and function* nf thr rRa. 

 fected ; and in ague of them there are ceruiniBRR 



