MEDICINE. 
Treatment. As this disease arises in con 
sequence of an effusion of blood or serum 
into the ventricles of the brain, or upon its 
meninges, blood-letting in a moderate de- 
gree may be of service, but copious bleed- 
ings must be injurious, by weakening the 
patient, and preventing the absorption of 
the effused fluid ; the blood should be taken 
from the temporal artery, or the jugular 
vein, and if that cannot conveniently be 
done, it may be taken from the arm ; if 
one side be more affected than the other, 
the blood should be taken from the side 
least affected ; cuj)ping the occiput is often 
serviceable, and it does not reduce the 
patient’s strength so much as general blood- 
letting ; warm fomentations of the shaved 
head continued for a length of time, and 
frequently repeated, will be of service j 
an emetic is recommended to be admini- 
stered, but, in our opinion, it is at least 
a doubtful remedy, unless the patient is 
affected with nausea in consequence of 
repletion of the stomach; acrid cathartics, 
as aloes, resin of jalap, calomel combined 
with the scammony, or with the extract of 
colocynth, &c. should be given by the 
mouth, if the power of swallowing remains'; 
and clysters, composed of a solution of 
some of the above cathartics, and the oleum 
succini, should be injected ; blisters should 
be applied to the head, spine, and extre- 
mities, or a large caustic should be applied 
to the neck, and mustard cataplasms to the 
feet: the patient should be kept cool, and 
as much in an erect posture as he can 
bear without inconvenience ; small electric 
shocks should be sent through the head ; 
errhines and acrid volatile medicines are 
recommended, but to us they appear at 
least doubtful remedies : if the disease ap- 
pear to be the consequence of the sup- 
pression of the hoemorrhois, leeches should 
be applied to the haemorrhoidal veins, fo- 
mentations must be employed, and the 
intestines must be stimulated by means of 
aloetic cathartics. 'The strength of the 
system will be restored by bark, bit- 
ters, and chalybeates. The return of 
this disease is to be prevented by studi- 
ously avoiding all the remote causes which 
are in our power; a plethoric state of the 
blood vessels of the brain must be obviated 
by a low diet, abstinence from fermented 
or spirituous liquors, moderate exercise, as 
riding on horse-back, if not affected with 
frequent tits of giddiness, or by walking; 
costiveness must be prevented by gentle 
flatliartics, and if the disease had arispu 
from the suppression of the hmmorrhoidai 
flux, aloetic purgatives will be most suita- 
ble ; an issue or seton should be made as 
near as possible to the head, or, as being 
less disagreeable, a thin slice of the fresh 
root of the daphne mezereum, steeped in 
vinegar for twenty -four hours, may be ap- 
plied daily, and if the inflammation should 
be very considerable and the discharge pro- 
fuse, it may be left off for a few days, and 
the parts should be kept moistened with a 
solution of sugar of lead. 
In palsy many of the symptoms have a 
resemblance to those of apoplexy ; it will 
be distinguished from apoplexy, however, 
by the pulse, which, in this disease, is slow 
and soft, and by the other symptoms. If 
it arise from the causes producing apoplexy, 
it must necessarily be treated in the man- 
ner just recommended. When the apo- 
plectic symptoms are removed, and hemi- 
plegia or paralysis only remains, or when it 
arises from diminished energy of the ner- 
vous system, it will be proper to prescribe 
internal and external stimulants; of the 
former class are, white mustard seeils, 
slightly bruised or swallowed whole, in the 
quantity of a large table-spoonful, three or 
four times a day, or horse-radish scraped, 
a table-spoonfid of vidiich may be swallowed 
witiiout chewing, night and morning, or 
they may be combined and made into an 
infusion, by macerating two ounces of each 
in a quart of boiling water for four hours, 
and adding two ounces of the spirit of pi- 
mento to the strained liquor, of which two 
or three ounces may be given, three or four 
times a day ; the arnica montana is strongly 
recommended ; the volatile alkali is often 
of service, and sumach is deserving a trial, 
from half a grain to three or four grains or 
more of the dried leaves are directed to be 
given two or three times a day : of the lat- 
ter class of stimulants are, blisters, friction 
of the parts affected with mustard, mther, 
volatile alkali, linimentum ammoniae for- 
tius, or the oleum terebinthinae, combined 
with the oleum succini and tincture of can- 
tharides ; stinging with nettles and electri- 
city, both sparks and shocks will be of 
considerable service, particularly if em- 
ployed early in the disease ; flannel must 
be worn next the skin, warm sea-bathing, 
and friction with flannel or the flesh-brush, 
will be useful auxiliaries. If the disease 
appear to have arisen in consequence of 
intemperance, the liver will most probably 
be found to be more or less in a diseased’ 
state, which still be known by referring to 
