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There is enough testimony- then, to show that this is a Herculean remedy. In some cases, especially after acute diseaso, a degree of idiotism comes on, which is removed by strengthening means. observes that diseases of the mind should be mildly treated, and that we ought to abstain as much as possible from too many and too strong remedies. — A young girl became insane from the re- percussion of smallpox : she began to smile without apparent cause ; she sang incessantly, or talked very extravagantly, and was exceeding- ly m- Blisters to the neck restored her. — A girl, aged 24 or 25, became insane from a suppressed arthritic humour ; she wept in- cessantly, answered nothing to questions, but upon being pressed, got angry. Was unable to pass from one chamber to the "HI: 7 oauf,e - hc hw legs would not support him.

The nature of the work, also, in a measure required that, in transcribing the remarks of a writer, those of others should be given, as from the context it was not un- frequently apparent that the conclusions which one practitioner expressed had been deduced from those of another whose opin- ions he quoted. It is perhaps desirable that, in the endeavour to avoid what has been called “ a great evil,” that is, a large book, I had confined my selections to writers in the English language ; but as France may be looked upon as the fons et origo from which the nations of Europe have derived their ideas as to the treatment of insani- ty the work seemed likely to be improved by the addition of French authors. With regard to the article on “American Asylums, I would observe that there is a marked uniformity of practice m our in- stitutions. The limits to this should be the drawing all the vitiated blood off by degrees, so that a suitable diet may generate good blood. If a mere symptom, injections, use of Runs, hydromel, and drinks slightly laxativ^Jmeans isually insuffi- cient without exercise. Pnnci- cause, particular sensibility, and egree w hile medicines pal object of treatment phyamal Th^h S^menstrual flow, if but secondary.I am aware that the plan of composition here involved is experimental, and may appear chaotic and devoid of system ; but these are little more than imaginary evils, if a convenient book of reference be so obtained.Very few* of the writers included in this compilation have been published in the United States; and numerous ideas may be de- rived from it which would not otherwise reach most practition- ers.Fer- dinandus says he cured three, who were in a state of dementia, by cauteries on the head, about the coronal and sagittal suture. Cannot too much insist upon the advantages presented in the treatment 6f hypo- chondriasis, from the daily use of a large quantity of grapes, especially when conjoined with habitual exercise.Severi- nus says lie knew an empiric, who, at the middle of the coronal and sagituil sutures, cut the skin, and tore it back to the bone; and by keeping an ulcer there, he cured them. Joseph Daquin, Doctor of Medicine of the Royal University of Turin, Physician to the Hospital for the Insane and to the Hotel-Dieu of Chambery, 1792. Men of letters should engage ui their labours by fractions, that is to say, interrupted by some hours of exercise, and should contract the habit of studying, sometimes seated, sometimes standing up, and never immediately after a repast. — A military man, who had bravelv distinguished himself in many campaigns, retired into the bosom of his family; soon experienced danger of passing suddenly from an active life to one of inaction ; felt symptoms of the worst hypochondriasis, and he whom the greatest dangers had not intimidated, became as fearful as the most pusillanimous woman.Etmuller asserts the cure to depend on strong vomits of antimony hr id hellebore ■ hen to dissolve the coagulated humours ; and to quiet, we have ob- 2 TREATMENT served that many practitioners extol opium. In some coses, sleep to be procured by anodynes, as opium, camphor, Hoffmann’s anodyne. Labour ol draught cattle to be imposed on him, and assiduously continued. To be immersed in wa- ter as cold as possible, and kept under it, covered all over, for a long time, until he is near killed. The cure of insanity is more difficult, more nice, and, at the same time, more discouraging than that of any other disease. The physician should endeavour to gain the confidence of the patients, and to discover the moral means which may avail. ) ark ; new employment of bark, and always a re- urn of fever after the febrifuge.

Hclmont is of a contrary opinion : he says opium can only produce a state of amentia; and that it is absurd to cure amentia or mania by that which would cause amen- tia ; besides, he says, the dose is so great! To restore obstructed evacu- ations, or substitute artificial. In many cases, the sea-bath; in some, cold bathing. It is not by a number of remedies that we must hope to cure : regimen, exercise, liberty, and, above all, great mildness in our discourse and manner, form a meth- od of cure much more sure and reasonable. four hours afterward, which re- stored the patient. Brandreth gave 400 drops of laudanum to a maniac in the greatest possible furor, and in a few hours he became calm and rational. Fifth time, fever did not return, but shortly a pain in the right hypochondrium, extending to the left hypochondnum, palpitations, constraint in respiration, desire to vomit especially after a paroxysm of anger, which always aggravated his condition ; transient heats, vertigoes, weight of head, disturbed sieht optic illusions, very slight bleedings at the nose, sharp pain, and feeline of cold m the back and loins, flatulence, wandering pains in the limbs “fc “l"*.

The American Asylums beyond the confines of the United States are not many, and are of little note I deem it unnecessary to do more than briefly touch upon three of their number. V Hospitals is in use ; that is, the apartments are of only one story, and open into a central square ; while our other institutions are several stories high, mostly assimilating the forms of building which are found in Great Britain, or the modification of these primarily adopted in the Massachusetts State Hospital. 489 244, 252, 253, 288, 308, 466, 468, 469, 473, 480, appendix. 559 560 561 562 565 567 567 568 ON THE TREATMENT OF INSANITY. Pla- lerus says that he has known innumerable persons cured by this meth- od by those who made the treatment of the disease their 'profession : these lunatics from being bled twenty, and even sixty times, from hav- ing been wholly mad or melancholy, were so fully restored that they continued perfectly well during a long life. No liquor stronger than small beer, or wine and water. 1 rt bark cordials, and fer- tinued, moderate exerc^e » dl 7« ^ a Tld robust, bleeding rugmous preparattons ln h y g b Anodyne8 proper, as cam- essential ; quantity determ y P vacuation B opiates advantageous, phor, alone or with n • . Hence, util- hypochondnas and & hysica ] an d m0 ral regimen, when from lty of tonics, exei , 1 - , f j an d excess m alco- anterior ma abuse “ anain ^ not to be interdict- h l most advantageous. J temperature, and follow a tonic td'ATmem, proper for ‘."re diminishing too great body, especially Sfi SSS onlnf gardening, 7 "^^ “3. attach pany them in their Bolitaiy wa, (heir ima gi lla tion to a less gloomy their feelings, and „ » When from love, principles perspective, and to consol g g from bclove a object, travel- of treatment, a union wi f ract i m i sometimes a new flame, and, ling, all subjects of dvv nhvsical and moral inaction ; and nothing above all, to shun with ca spy bvoochondriasis than a con- more lit to dissipate erotic ^ of the society tinual activity. Very probable that malady will not long resist these rational means, seconded by good regimen.

, , r; j The first of these has been recently established near Rio Janeiro, by the Emperor of Brazil, and is under the caie o i. The in- stitution of which I here speak is not altogether a lunatic asylum, but constitutes tho insane department merely, in the Casa de Ben- eficencia (which may be considered as a sort of alms-house) at Havana, in Cuba. These practitioners were not very select about the vein, bleeding in the arm and foot, now in the one, and then in die other. , desperate case requires the above active treatment; but in a milder, 1 by no means approve of it, where other good remedies avail. Gentle exer- cise on horseback uniformly persisted in. We must the chefs d' oeuvres of sations, public diversions, the ^^^^^^’ex Lssive luxury and art, and a choice soci^y eqvni l N rr ^ a change in the sad and SETS- “ d °“* ht to ;“ iod ' and offers much difficulty. Ought, to consolidate the cure, to recommend to the patients the hygienic precautions which suit in the state of perfect health.

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At the same time a composition to be burned under the nose, containing camphor, myrrh, and frankincense. i., produced a dis- charge of mucus from the stomach filling u basin, and the patient in- stantly recovered, after an attack of six hours : cordial stimulants had aggravated the fit ; he bit the pillow, and there was spasm of the oesophagus ; but a repetition of the emetic cured. A case is mentioned which was cured by flowers of zinc thrice daily. Blood from the arm or jugulars ; or if too weak, cups to the occiput. Monro recommends vomiting : vinum ipecacuanha* in the weakly; in the robust, tartar emetic and an- timonial wine. Case - Gassendi persuaded a man who fancied himself a sorcerer, to give him the necessmy drug, that he might anoint and become one also : they passed the night in the same chamber ; the sorcerer was agitated and spoke all night: on arousing, he embraced Gassendi, and felicitated 3m mmn hfving been at the witches’ sabbath, relating all that they q r e togeth L S'S: : H I am £ far from . Charpentier, in his “ Essai sur la Melancholic " presents few ideas with respect to treatment not found m some part ot our compilation. s Lnne’rtiiis says, “ Sleep to the watchful melancholy is a remedy to be estimated as more valuable than gems and precious stones. _ A man from the death of his wife, became melancholy, imagined himself ruined, had a suicidal tendency, &c.

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