346 On Delirium Tremens. 



lesion of the cerebral substance, or some specially localized 

 inflammation of the membranes. All the usually assigned 

 causes of the above enumerated diseases may each have its 

 peculiar modifying effect in giving a stamp to the symp- 

 toms : — in fever, the malaria or particular status of the 

 atmosphere ; in cholera, as it rages epidemically, some subtle 

 poison derived from the suddenly altered constitution of 

 the air, the inappreciable and inscrutable effect of a thousand 

 unknown agencies — this poison entering into the blood, vitia- 

 ting the vital fluid, and rendering its circulation through the 

 brain, and elsewhere, incompatible with life ; in coup de 

 soleil, the ardent rays of the sun, and the increased tempera- 

 ture of a heated atmosphere, giving to the patient, in the 

 early stage, the sensation of molten lead ramifying through 

 his brain ; in delirium tremens, and the apoplexy of deep 

 drinking, the particular vinous stimulus ; in mania and 

 phrenitis, their own particular exciting causes, diversified as 

 they may be. 



Synopsis of history and treatment of Eleven severe successful, Three 

 slight y and Four fatal cases of Delirium Tremens. 



Number of days ill be- 

 fore treatment, on an 

 average of 18 cases, — 1\ 



ter treatment discharged 

 well, on an average of 

 14 cases, — 9 days. 



Number of days after 

 which the disease yielded 

 as to severity, on an aver- 

 age of 11 cases, — 3^ days. 



In 11 severe cases the disease yielded :— 

 No. 1 on 4th day after administering Tinct. Opii. siij. 



2 ° n 7th ^ { £ P orpKuriat. gr. 13. 



3 on 6th day Morphise gr. 9|. 



4 on 6th day ,„... Tinct. Opii. 3vij ss. 



5 on 2nd day Tinct. Opii. 3iv. 



6 on 2nd day Tinct. Opii. fj. 



7 on 2nd day ... , Tinct. Opii. gj. 



8 on 6th day Tinct. Opii. 3vij. 



9 on 2nd day ( °P iL P l , , 



* \ Morphise gr. 1 J. 



f Opii. gr. ij. c. calomel 3ij. 



10 on 4th day < Tinct. Opii. 3iss. c. Antm. po- 



\ tass. tart. 



{Tinct. Opii. 3xvss. c. Antm. po- 

 tass, tart. 

 Morph. Mur. gr. ij. 



