MEDICINE. 



Frank* nterine function*. The employment of the various 

 ' ~ mean* of depletion i* to be retaliated entirely I- 



cumstance*. and the ame remark may be made as to the 

 use of stimulants or sedative- ' the most part, 



thecure cannot be accomplished by thr mere useot 

 :>ei.dent of general management or mor . 

 le. Every thin? concur* to proe, that violence and 

 har>hncs< are a* useless * they re inhuman ; that con- 

 straint i. only so far proper, as to prevent the patient 

 from injuring himself, or th>- around him ; that we 

 most rrgard the insane as entitled to all the privilege* 

 of humanity ; and that, when the reasoning power* 

 are not too far perverted, they may, in a majority of 

 case*, be reatoml, by treating the patient wit. 

 mixture of gentlenees and firmness, and by occupying 

 him with such pursuit* a* msy engage hi* ideas with- 

 out haraasing them. The core of Amentia is more hope- 

 lee* than that of Mania . it more frequently depend* 

 upon an obvious structural affection of the brain, and U 

 snore fr-qeutry either connate, or the effect of some ir- 



. .. . i . .-. MM i thai ,- - 

 the specie*, indeed there i* exact limit between 

 them ; so that in the ame patient, the*; often make 

 their appearance at different 



or glide insensiMy 

 ve.1, that the pr<vnoi. i- 



is hereditary, or when it 

 ibviou* cause ; while, on the 



..f what 



rent period* of the complaint. 

 rach other. It may be olxer- 



:.;,. 



ia 



M '. t ,i. r . BJt I N 



seem to depend upon mere 



a diminution rather than exce** of nervou* energy. 

 With respect to the operation of particular remedie. in 

 insanity, we may remark that bleeding i* not to be em- 

 ployed, except there be some indication of if* use from 

 the state of the circulation. It due* not appear to have 

 any speqffc effect over the disrass ; and Mothose: can be 

 disgraceful to the p 



neto manner ,n which it was nractieeJ,unul very lately. 



i * I 



ervat ion may be made re-pc<*ing all the other evacua- 

 tions, wh.ch are only to be ls*d recourse to when there i* 

 aomething in the state of the function* which seem* 

 particularly to call for their ampinymetit. Opiom, 

 camphor, digitalis, have each had thc.r advocate*, a* 

 well a* the warm bath, the sppb'mdon of cold under 



bid affections that are concerned in the function of nu- Practice. 

 triuon, of which the most important are the stomach, '*~~f* m * ' 

 the intestinal canal, the liver, and the absorbent sys- 

 tem. The first of the four orders into which we divide 

 this class, consist* of disease* of the stomach and its 

 appendages, of which we begin by an account of Dys- 

 pepsia. Dyspepsia, or Indigestion, as it i* popularly 

 termed, i* a complaint that is infinitely diversified in it* 

 symptoms, and depends upon a great variety of cause*, 

 some connected with the structure and composition of 

 the parts, and others with their functions, independent 

 of any visible alteration. It is a complaint which doe* 

 not run through any regular course, or observe any 

 uniform progress, but consist* in a number of morbid 

 hich succeed or accompany each other, a* it 

 ' from incidental circumstance*. Among 

 symptoms of Dyspepsia, we may enu- 

 tbe following: loss of appetite, or sometime* 

 the contrary state ol' an acute feeling of hunger, while 

 the stomach i* incapable of digesting the food that baa 

 been received into it, nausea, vomiting, pain of the sto- 

 or the opposite state of diarrhoea, 

 of the farcal discharges, flatulence, 

 head- ache, and a furred appear* 

 of the tongue; a circumstance which affords the 

 utioner one of the moat certain indications of the 

 state of the patient, and enable* him to form hi* prog- 

 nosts. The disease ie not attended with fever, nor is 

 the pulee necessanly wetted, until it be so from the 

 which i* induced when it is of long standing, 

 body begin to fail from 

 It i* observed that the 

 ith, or influenced 

 by. the cundrtion of the stomach; so that the same in- 

 dividual, who pniui.il the most active and cheerful 



II .i. -* -' - - - ^ ^ f fm*^** *w 



(usposHioa wnile toe digestive organ* are free irom op- 

 pression, after a full meal becomes languid, melancho- 

 lic, and diepuorling. The exciting cause* of Dyspep- 

 sia are a* various a* the aspect* which the disease a*. 



vaiiuu* forms, ami different 

 bat it 



may be doubted whether any very Jieidid 



_i to tie expected from them.eratlea.t more 



than what can be eappoeed to eVrpeod open their effect 

 in promotmg the .tate of tne general health. Many of 



onry partial, so a* to leave the 



patient in a situation to be eisucioai of what was pass- 

 it mst be attribs^ad merrv to the spontaneou* effect* of 



CFfAP. IV. 

 Puratreptt*. 

 Dgtptptta. I*digetti, 



fVfH* We 



wc have 



I. 

 e to oar fourth decs of 



a. Every other disease which in any way influ- 

 ence* the slate of the general health, may induce Dys- 

 pepsia ; all violent mental emotions, especially those of 

 a depressing kind ; sedentary habits, or exercise carried 

 tothe length of exhaustion ; and, what U the roost fre- 

 quent cause, and the one which produces the most ur- 

 gent end diet rearing symptoms, a luxurious diet, or 

 rely too great repletion ; and especially the exces- 

 sive use of fermented or spiritous liquor*. The ha- 

 bitual employment of opium or tobacco seems to act 

 very unfavourably upon the digestive organ* ; and, in 

 abort, whatever may be Mpposed either to diminish the 

 vital power*, or to produce their irregular action, fre- 

 quently manifests its injurious effects through the me* 

 dinar uf the stomach. Another dee* of cause* which 

 the digestion, are those that consist in some 

 of the various chylopoetic viscera, a* 

 lion, contraction, or schirrus of the 

 , itself, which usually occur* about the pylorus ; 

 increa* ; and whatever im- 

 i bile, or it* discharge into 



pedes the due *ecretieo of t 

 the alimentary canal. 



The indication* of cure to be observed in Dyspepsia Trtatm*u 

 are sufficiently obvious, but the accomplishment of 

 them i* often very difficult ; and perhaps, in a majori- 

 ty of cases, we are rather to practise with a view to ob- 

 viate particular symptoms, than in prosecution of any 

 general principles, Our first object must be to ascer- 

 tain, if poeiibls, whether there be any structural dis- 

 ease of the Xomsrh or the digestive organs, a circum- 



