hometirncs succeeds to a full fit of apoplexy, 
[and continues for months, or during life. The 
palsy often affects the whole of one side, and 
I is confined to that side ; hence ft lias been 
supposed, that the injury of the brain is like- 
wise partial ; and from the decussation that 
lias been imagined traceable of the nerves 
I from the encephalon, Dr. Darwin and others 
i have concluded, that the origin of the disease 
is on that side of the brain opposite to the 
affected side. 
Palsy, however, certainly originates at 
times (even if genuine apopiexv does not) 
| from interrupted excitement, without any 
congestion in the brain, as its more immedi- 
ate souice ; as when it results from the poi- 
' son ot lead and other causes, 
M. M. Ascertain the exciting cause, and, 
, if possible, counteract ft. Emetics, purga- 
tives, preceding stimulants and tonics. To- 
pics and stimulants the same as in asthenic 
[apoplexy. \ olalile embrocations to the pa- 
ralyzed side or limb. Warm bath. Bath 
waters. Electricity. Galvanism. 
N. 13. Fatuity, or second childhood, very 
■often takes place through the medium ofpa- 
J. a lytic affections ; the faculty ot memory ap- 
pears to be overthrown by the associate sen- 
tient actions, which constitute this faculty, 
being dissevered beyond the power of re- 
union; and existence is reduced, iti conse- 
quence, to a state of mere vitality from im- 
mediate impiession. 1 his is not seldom the 
■case when the loco-motive power, and the 
•energy of the muscular fibre, shall have been 
restored to their former state. In this case 
the lecollection of the past, and anticipation 
fof the future, have both probably been irre- 
■coverably lost. 
The mere possibility of his being reduced 
do this condition of humiliating existence, 
•one would think a motive sufficiently power- 
ful to check the intemperate in his course. 
O’rder II. Adynamia . 
I Genus I. Syncope, fainting. 
Symptoms. A diminution, or even, for a 
time, a total cessation, in the action of the 
heart. 
|i Painting may arise from passions of the 
mind; from sudden reduction of stimulus, 
.as from bleeding, or drawing off the waters in 
dropsy ; violent pain ; the irritation of worms, 
or other crudities, in the stomach and bow- 
els ; much heat, offensive effluvia, &c. : in 
these cases the disorder has been called syn- 
cope cerebralis. When fainting arises from 
|jdeficiene.y of oxygen in the circumambient ■ 
air, as in a crowded assembly, the cessation 
ol the heart is produced nearly upon the 
same principles as in actual suffocation, 
drowning, or strangling. It is then termed 
syncope pulmonea. 
M.M. Immediately obviate, if possible, 
the exciting cause. Endeavour to restore 
Sensation by aspersing cold water on the face 
and neck ; attempt to force down a small 
Quantity of brandy.; and in ail cases, but 
more especially when the affection arises from 
jinpure air, throw open the windows, and 
prevent compassionate spectators from crowd- 
ing round the insensible patient, 
f N. B. 11 fainting, or palpitation, recur 
frequently, and without any manifest cause, 
pher predisposing or exciting, there will be 
reason to suspect that the disorder is not 
kervows, but depends upon some makonfor- 
MEDICINE. 
motion in the heart, or neighbouring blood- 
vessels. In this last case it is irremediable. 
Genus II. Dyspepsia, indigestion. 
Symptoms. Deficient, or depraved, appe- 
tite; nausea; vomiting; inflation from flatu- 
lence; heartburn; pain in the stomach, espe- 
cially when the body is in a bent position ; 
oppressed breathing ; costiveness. 
1 his disease evidently arises from deficient 
action in the muscular libres of the stomach, 
which in violent cases amounts to inverted 
motion and vomiting. It acknowledges the 
same sources as other affections of weakness: 
these are, intemperate use of spirituous li- 
quors, and of tea ; exposure to damp and 
cold ; irregular hours of repose ; intense 
study ; mental depression and anxiety ; when 
originating from this last source the disorder 
lias an equal claim to the appellation of hy- 
pochondriasis, or low spirits, with that of 
dyspepsia. 
'M.M. Purgatives, with calomel, pre- 
viously to giving tonics. An emetic. Co- 
lombo, gentian, quassia. Magnesia, in order 
to neuti alize the acidity, and ease the conse- 
quent pain of heartburn. 
Chalk, which is used with the same in- 
tention, is improper, on account of that neu- 
tral compound which it forms with the 
acid of the stomach being insoluble, and 
tending to increase the costive state. “ The 
dyspeptic must be persuaded that a horse is 
the be.-t physician ; and that temperance of 
every kind, with reasonable dissipation and 
exeicise in a dry healthy air, will do more for 
him than all the medicines in the world.” 
(lownsend.) Cold, or shower, bath, in very 
warm, and warm bathing in cold weather. A 
glass of warm water after dinner and supper. 
Genus III. Hypochondriasis, low spirits. 
Indigestion, with languor, and causeless 
apprehension of evil, more especially as it 
relates to the patient’s state of health/ 
TIi is disease and dyspepsia only deserve 
to be distinguished by separate names, inas- 
min li as the mental depression in hypochon- 
driasis appears especially to increase the dis- 
ease by which it is, in part, constituted ; and 
such disease is again magnified beyond mea- 
sure by the morbid imagination of the invalid, 
ihus, in some cases of confirmed hypochon- 
driasis, (he dyspeptic sensations shall be attri- 
buted by the sufferer to the immediate agency 
of a malevolent power. 
M. M. Aim at converting solicitude and 
apprehension into confidence and hope ; not 
by deriding the feelings of the hypochondriac, 
and treating them as fanciful, but by breaking 
the chain of diseased associations.' Procure 
a gradual change of scene and of habits. 
Journeys to Bath, or elsewhere, according to 
the previous disposition of the patient. Bath 
waters. Warm bathing. Preserve carefully 
the alimentary canal free from colluvies and 
viscidities by drastic purges and calomel. 
Maintain a regular moisture of the skin, with- 
out copious perspiration. Tonics with aro- 
matics. Dr. Darwin particularly insists, and 
with justice, on the advantage of uniformity 
in the hours of meals: this uniformity should 
even extend to medicinals, the same hour of 
repetition being invariably observed. “ Si- 
esta, or sleep after dinner.” 
Genus IV . Chlorosis, green-sickness. 
Dyspepsia; paleness of the skin and of the 
lips; lassitude; difficult breathing, and pal- 
pitation of the heart, after using more exer- 
T 2 
147 
cise than usual, especially In- going rapidly 
np stairs ; pulse small, feeble, and sometimes- 
very quick ; coldness of the extremities; 
appetite deficient, and oftentimes depraved ; 
pain in the ba>ck and loins; costiveness; 
oedematous ancles, especially towards even- 
ing; and obstructed menstruation. “Chlo- 
rosi laborat debilis- puella totum corpus, laxo 
oedemate tumet ; pallent et frigent omnia . 
(Van Swieten.) 
Dr. Cullen has, with much impropriety, 
classed tins among the nervous diseases ; it 
ought to have been transferred to the next 
leading division of disease, or rather regarded 
as an affection of the lymphatic and absorb- 
ent stem. In cases o'f much debility, espe- 
cially of disposition to torpor, in the ab- 
sorbent and secerning vessels ; if, at the time 
when nature demands a new secretion and 
discharge from the system, in place of ge- 
nerous living, due exercise, moderate a^id 
pleasurable excitation of the mind, “ the ever- 
springing hope” of youth, &c. be substituted 
to poverty and unwholesomeness of diet, wa- 
tery and vegetable food, inactivity; conceal- 
ed, oppressing, ungratified, and hopeless de- 
sires ; the effect is the disease now under no- 
tice : which, however, from much natural 
debility, independently either of mental de- 
pression, unwholesome diet, or any other 
cause, may be, and very often is, occasioned. 
Chlorosis, indeed, is ot exceedingly frequent 
occurrence. 
r Ihe immediate cause is evidently an inac- 
tive state ot the absorbent vessels, more 
especially of those which supply the chyle: 
hence deficiency of red blood in the vessels] 
want of propelling power in the heart and 
arteries : hence want of menstruation, ccde- 
lnatous swellings of the feet, “pallent et 
frigent omnia.” 
SUM. Almost as certainly as some kinds 
of pain yield to opium, does even obstinate 
chlorosis lall before the power of steel. “ Dum 
hoc utitur, incipit oriri major calor.” r f 0 
steel, then, must the physician principally 
trust in every case of genuine green-sickness. 
It is necessary, however, frequently to com- 
mence with an emetic; and in almost all 
cases it is proper to give a purgative, joined 
vitli calomel, before the administration of 
steel. I on ic bitters. Aromatics. Mode- 
rate exercise in a pure atmosphere. Flesh 
‘ kiffh of about eighty degrees, as 
Buxton;” not by any means colder. Mar- 
riage. 
Order III. Spas mi , Spasms. 
In the introduction to the class Neuroses 
we endeavoured to describe briefly the man- 
ner in which, a knowledge was acquired of 
the separate functions and distinct diseases 
of the nervous, system. In the case of spas- 
modic affections this is especially illustrated, 
it in any animal the nerve supplying a limb 
be denuded, and a violent stimulus be ap- 
plied to its surface, the whole member shall 
lie immediately thrown into convulsive agita- 
tions : a fact which is perhaps too often de- 
monstrated in galvanic and otliQr experi- 
ments. V\ lien then such convulsive move- 
ments appear, without experiments, and 
sometimes without apparent cause, a similar 
change is justly inferred to take place in the 
nerve or nerves passing to the organ which 
may be the subject of the disease. There s 
one •ircumstance with respect to spasm that, 
