On Delirium Tremens. 



349 



6 o'clock p.m. — hot skin ; feels 

 giddy ; lies dozing with his eyes 

 closed ; subsultus tend ; picking 

 at bed clothes ; vomiting ; fecu- 

 lent stools. 



4th day — hot skin ; pallid dry 

 gums; feeble pulse; replies but 

 soon relapses into moaning and 

 stupor. 



5 th day — pulmonic symptoms 

 developed with a relief of the 

 delirium and cerebral oppres- 

 sion. 



6th day — oppressed, rattling 

 respiration ; dry tongue ; thick 

 yellow mucous sputa — death. In 

 this case the laudanum did not 

 reduce the delirium, nor produce 

 sleep, but rather stupor. The 

 disease of the lungs of course 

 maintained and kept up the cere- 

 bral disease. 



No. 6. April 12th, age 36.— 

 Was drunk yesterday. 



Symptoms. — Tremor, low spi- 

 rits — he felt well in 4 days. 



No. 7. July 20th, age 39.— 

 A great drinker, has been drinking 

 for the last 4 days ; before ad- 

 mission had convulsive fits with 

 rigidity of the limbs. 



General Symptoms. — Dark 

 congested expression of features ; 

 head-ache not complained of; feels 

 tipsy; pale lurid tongue; quick 

 feeble pulse ; totters as he walks ; 

 timid, tremulous, agitated man- 

 ner ; mind disturbed ; want of 

 quiet sleep: as the disease ad- 

 vanced, subsultus tendinum, dis- 

 position to coma ; contracted yet 

 moving, pupils ; delirious laugh ; 

 his replies less rational ; evacua- 

 tions healthy. 



6th morning — has been deli- 

 rious during the night running 

 about ; wild manner and look ; 

 his gums are sore. 



brain ; an injected state of the 

 pia mater ; effusion of serum be- 

 neath the arachnoid, into its 

 bag, and within the ventricles of 

 the brain; milkiness of the arach- 

 noid. 



Chest. — Extensive inflamma- 

 tion and consolidation of the 

 lungs. 



No. 6. Antim : Potass : Tart : 

 gr. i. c. Tr : Opii : 5 SS - divided 

 into 6 doses — to take repeated 

 doses of this strength. 



No. 7. 1st day — Calomel gr. 

 x. Opii : gr. ij. St : Morph : 

 Mur : gr. ij. divided into 3 doses 

 during the day. 



2nd day — Morphia gr. i. ter. 



3rd day — Morphia gr. ss. 

 quater — a dose of Calomel and 

 Colocynth twice. Mercurial in- 

 unction. 



4th day — Morphia gr. ss. bis. 

 Calomel 3j. 



5th day — Calomel and Colo- 

 cynth twice. 



6th day — Morphia gr. v. divi- 

 ded into 4 doses during the day — 

 besides this treatment, several 

 blisters and sinapisms were ap- 

 plied, ice to the head, pediluvium, 

 repeated turpentine enemata. 



