920 DISEASES AND THEIJR TEEATMEJSTT. 



the second stage, when the pulse becomes quick, general 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, bio whig, and convulsed ; his 

 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 injuries 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 j ugulars 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: 



6 drachms Barbadoes aloes, 

 ?r oz. carbonate of soda, 

 15 croton beans finely powdered, 

 Shaken up in a quart of warm water. 



Three drachms of aloes may be 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, where 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 disease 



