1000000031

E D

the drinkinll of it to reeeife the v'pour or Cleam ioto the

ty.:s.

Of Ihe

A,oPLExv.

direare is a rudoen .bolition of all the renres, ex–

ternal and internal, and off

Clll voluo13ry

mot\on, cam·

",anly attended Wilh a Clrong pulr., I.borious breathinll,

a deop O"p, and fnoning.

Th~re

is no difFel ence

bctwtt'n

a perron

anee?

and

an al'a'plexy, but !hat the one can be awaked, and the o'

lher

CanDOr .

l'he caufc!s of this

dlreaCe

are a

particular

conformtltion

the

body,

tlS

{hart neck.

f...

fome have

fewer

vc:rte-

1:)rx in tQeif necks

~han

other,;

él

groC'J

plethoríc, fat,

phlcgmatic confliuJtion;

polypous

concretions in the ca–

rotid and vertebral arterics, or about {he heart, oc with–

in the /kull, whieh are knowo by ao unequal pulf" a

vertigo, and

fome limes

mom~ntary

lors of fight;

inOammatory thickoefs of the blood, preceded by.a (ever

attended by the head ·aeh, redoefs of ,he faee aod eyes,

adt"anced

age,

,attended wirh

glutinous,

cola,

catar–

rhaus, leucophleg0l3tic conllitution.

The (orerunners of an apoplexy in thefe I¿fl, are, dul–

nefs. inaaivity, drow[,oefs, Oeepioefs, (Jawoef, of fpeech

:\nd in giving anfwers, vertigoes. trtmblings. opprcffions

Oeep, night"mares; weak. watery, and turgid eyes ;

pituitous vomitiDg, and hlborious brealhing on the leall

motion .

Otber caufes may be, whatever\comprc(fes the velfels

of the brain¡ as,

plethon,

cacochymy, attended

with

fulnefs of the vefT'els

hot cODOitutioD; tumors withiD the

/kuTl; the velocity bf the blood iocreafed towards the

head, aod dimioifhed dowoward.; eompr.llion of the

"eios without ,he /koll, ",hich briog the blood' baek from

lbe braio; the efl'u{joo of aoy fluid comprelliog the dura

aod pia mater exteroally

the cffufion of any fluid with–

iD the braiD, whieh by iu prelfure hur" the origio of the

nervcs; this is the mon

ccmmOD

caur~

of apoplcKies,

aod proceeds from blood io the plethoric.I, from a fharp

ferum in the hydropicaland

l~ucopble&matic.I,

and from

aD atrabilious acrimony in lhe rntlancholic, the fcorbulic,

acd the podagric

Violeot paflioo, of the miod, aod iD·

tenf~.

Oudy, are prejudicial tO ,hefe,

There are three degree, of ao apoplexy.

~The

6rfl i"

....heo the vital Buids are, by the force of violoot difleo–

tions, dri ven from the lower and outward parts of 1he

bady, to th. exteroal parts of the head;

"1'1

to the brain

aod

itS

meninóes.

the carotid arteries; whercby thdr

veJTels

;;.ré

expanded, and lhe free ci rculation through

them impeded. "¡hile this Oign..ion of the blood coo–

t-inues, {he external and ¡nternal fenfes are abolilhed ; and

as the Ooppage goes off ,hey are gradually reflored . Such

are rhe 6" that hypoehondriaeal aod hyflerical perfoo.

are fubjea

10.

The fecono dcgree is, when the flagoatioo cootioues fo

long tha! lh! ferum oaus through ,he veírels . 'and fall.

upon the lides o( the medulla

~blonga,a

or fpinali" and

fo flOp9 lhe inBux of the o«vous Buid, aod produces a

h e"iplexi" or a p. lfy.

Th-. hichefl

de~ree

is, wheQ !he 60e vetrd. of the pi.

VDL.

IlI. N°, 73,

nlater 3re brake, aod ,he cx"avafatcd blood oceupies the

balis of the br.lÍo.

The {jrfl may be cured by timcly blecd:nll: the fe–

cood, thoueh it doc, oot lilddeoly kili, .yet it geo<r.lly

renders lhe patiem infirm ever arter: the thirJ is

alm01t

always

mortal.

Thc immediate forerunners

"n apoplexy, are trcm.

bling, n;lggering,

giddincfs

lhe

hl!ad, a

\'ertigo,

dimnefs

Cighf,

flupor, flcepinefs, {orgetfu)nefs,

noife

in the cars, more decp anJ laborious breathing, {he oight..

mareo

A Oight apoplexy goes of io a profufe, equal, rofcid,

warm fweat;

Id.fgt

qu:.nlity

thh::k

unne, by the

bleeding piJes,

the flowiog

of the

menres, a

diarrh<Ea.

ftver .

more revere.

uru..l lly terminates

a paralytic diforder ; and is leldom curoble, but al\Vay.

lea

Ve!

bchind it ... grear

dc.:feét

of memory, judgment, anJ

motion.

Bleed in the afm to

t:2

ounees, and then io the jugular

ounces; immediatdy

after

which, give

ouaee

aod

haJf, or two ounees,

emetic wine.

Apply a large Clrong bliCler to the neck, hold thel'atieot

up.ight io bed, and let tbe fpirit o( fal ammooiac, highly

re~\Jfied,

be h<ld to his nofe.

Let there be Clronll friaions of the head, feet, aod

hano.; aod let the patient be carried lIpright backward.

and forewards about the room, bytwoUrong meno Strong

blil!ors fhould be applied to the he.d, oeck, back, aod

ca!ve, of the legs. Sharp c1yClers fhould be throlVn up

into the body, which have a teodeocy to excite the pa–

tienr, and to caufe a revuHion;

Shaw

advire~,

during the fit , to b!e:ed hrgely inche

arm,

or rather in the jugular, to apply Clrang volatil.s to !he

nofe, tO blow foeezing powders

the oofe, as alfo to ro:.

che: temples with fpiriluous cephalic mixtures.

L ikeIVife to blow in the mouth and noHrils the fmoke

tObaceo

from an

¡nverted

pipe.

Thofe wbo have once had a 6t of the apoplexy, are

very liable to be feized with it ag'in; and i( they are

plelhoric, the befl prcfervative is bleeding once in three

months, and ufing themfclves to a fpare diet ; takincr

medicines which Hrengthcn gently, and abrlaining fro;

cares and

all

¡nteore applications of

che

minJ; not ne..

gleéling itrues and felOns, oor the drioking fuitable mioe–

ral

waters...

Ihe

PAL'Y.

PAL'Y

is a I. x immobility of any mufcle, oat to be

overcome

che

wíll

of the patient. Sometimes the fen–

fation of the pare is aL/olurcl y aboliOled , aod fometimes

rhere

r~mains

a dull fenfe o( feelinll' with a kiod of ling–

Jing [ltereio.

m.y be eaufed by all thiogs that briog on ao apo –

pley.y

UU t

rcnder the ncrves un6t

traolinit the ar.i.

m~1

fpirits; that hinder the entrance

the"arterial blood

ioto the

murcie:.

Hencc

[he

nature

paraplegia

hemiplegia, aod the palfyof a partieul... part, m. y be uo–

d"flood

H enee a palfy may proeeed from ao apoplexy, ao epi–

lepfy, extreme aod lafling paios, fuppreOioos

01'

the ufual

l3 b

evacuatioos~