348 



On Delirium Tremens. 



No. 3. Nov. 23rd, age 21.— 

 Has been drinking on shore 3 or 

 4 days ago. 



General Symptoms. — Tremor ; 

 agitated manner and speech ; no 

 head-ache ; wanders in his mind 

 and starts as he lies ; cannot 

 sleep quietly ; quick, small, weak 

 pulse ; warm perspiring skin ; 

 tongue furred, moist. Diarrhoea 

 — well in 7 days. 



No. 4. Jan. 7th, age 24. — 

 Taken ill 4 days ago after hard 

 drinking on shore. 



General Symptoms. — Low spi- 

 rits, the state called "the horrors;" 

 palpitation of the heart ; small, 

 weak, slow pulse ; giddiness ; on 

 the 3rd day violent and deranged. 

 Relieved after the 3rd day — evi- 

 dent relief was afforded in this case 

 by the large doses of laudanum. 



No. 5. Jan. 12th, age 39.— 

 Vide case No. 1. An habitual 

 drunkard — 2 days previously to 

 admission was treated on board- 

 ship for pneumonia, and bled — 

 has been drinking, and the deli- 

 rium tremens has supervened 

 upon the latent pneumonia. 



1st day — delirious on admis- 

 sion ; heat and slight pain of head ; 

 quick, small feeble pulse; religious 

 ravings, but replies to questions. 

 Night — delirious, running 

 about the Hospital, with a pale 

 tongue. 



2nd morning — red eyes, small 

 feeble pulse. 



4 o'clock p. m. — has been de- 

 lirious all day. 



3rd morning — sleep with ster- 

 tor ; stools in bed ; cold extremi- 

 ties ; fixed contracted pupils ; at 

 times low delirium. 



1 o'clock p. m. — convulsive 

 twitches as he lies, but replies 

 to questions. 



No. 3. Calomel 9j. with Dover's 

 powder. Tinct: Opii: c. Antim. 

 Potass : Tart : in repeated small 

 doses for 3 days. Calomel 3j. 

 Opii : gr. i. 01 : Ricini gums be- 



came sore. 



No. 4. 1st day — a purgative. 

 Tinct: Opii: 3j. 



2nd day — has slept after the 

 Tinct : Opii : lies quiet to-day — to 

 take Dover's powder and blue pill 

 twice. 



3rd day — Tinct : Opii : 5ij. 



No. 5. 1st day — on admission 

 Tr: Opii: 5j- after a few hours 

 Tr:0pii:5ij. 



Night— Tr: Opii: 5iij. 



2nd morning — Tr : Opii : 5\j. 



4 o'clock p. m. — Tr : Opii : 5ij 

 to be taken twice. 



3rd morning — to have brandy. 



1 o'clock p. m. — Sinapisms, 

 Calomel gr. x. Hirud : Tempor : 

 effervescing draughts. 



6" o'clock p. m. — Calomel gr. x. 



4th day — Magnes : Sulph : ^ij 

 terdie — evening Hirud : xij. Tem- 

 por. 



5th and 6th days — Sinapisms 

 to different parts of the body — 

 blister to chest. Antim : Potass : 

 Tart: c. Tr: Opii: repeatedly: an 

 occasional sether draught. 



Post Mortem Examination. 



Head. — A congested gorged 

 state of the longitudinal sinus 

 and veins upon the surface of the 



