350 



On Delirium Tremens, 



7th day and onwards — the 

 treatment consisted of repeated 

 aperient doses, small doses of 

 Antim: Potass: Tart: c. Tr: Opii: 

 blisters and turpentine enemata ; 

 latterly he took Quinine, and 

 doses of Camphor and Hyoscia- 



7th morning — has been deli- 

 rious all night, and quite de- 

 ranged ; now lies comatose and 

 convulsed; incoherent when dis- 

 turbed. 



8th morning — sleep with snor- 

 ing in the night. Evening — has 

 slept to-day, at the same time 

 convulsed. 



10th day — muttering and pick- 

 ing during sleep ; is rational ; 

 gums ulcerated. During the 

 next 12 days the tremor, convul- 

 sive twitchings, and temporary 

 incoherence became mitigated — 

 he was rational at times ; eva- 

 cuations healthy ; skin clammy ; 

 pulse small and quick. Just be- 

 fore he quitted Hospital he had 

 a relapse of coma, but recovered 

 at sea. He left Hospital on the 

 22nd day for sea. 



No. 7. The morphia given in this case did not seem to allay the 

 cerebral disturbance and delirium, but rather to increase the convul- 

 sive movements and tendency to coma. The Antim: Potass: Tart: c. 

 Tr : Opii : lessened the delirium, and procured a little sleep. 



Note. — I have heard from Dr. J. Macpherson, of the General Hospi- 

 tal, of a case of Delirium Tremens recently presented to him, in which the 

 man fell down in a fit as if apoplectic, in which, after death, the only morbid 

 appearances were red points in the brain, and effusion to a very small extent. 



No. 8. July 22nd, age 40.— 

 Has been drinking for 3 days ; 

 taken ill to-day ; he fell down on 

 board-ship to-day as if in a fit 

 of apoplectic. 



General Symptoms. — After ad- 

 mission, no pain in head ; tremor 

 and agitation recurring with in- 

 creased severity in paroxysms, 

 and, when spoken to, articulation 

 impeded ; is quite sensible ; dry 

 furred tongue ; warm moist skin*; 

 quick, small, weak pulse, evacua- 

 tions good. 



No. 8. 1st day — morning 

 Morph: Mur : gr. ij. afternoon 

 Morphia gr. ss. 



2nd morning — Morphia gr. i. 

 afternoon; Morphia gr. ss. bis. c. 

 Calomel gr. iij. bis. Evening rep. 

 Morphia c. Calomel bis. 



3rd day — an aperient Pil : Hy- 

 drarg : c. Colocynth. 



4th day — Morphia gr. ss. ter. 

 c. Calomel gr. iij. 



5th day — Morphia gr. i. bis. — 

 besides this treatment a blister 

 was applied to the neck on the 



