An inaugural dissertation on the apoplexy : submitted to the examination of the Rev. John Ewing ..., the Trustees and medical professors of the University of Pennsylvania : for the degree of Doctor of Medicine : on the 19th. day of May, A.D. 1794. / by John Lamb, Jun. of New-York.

  • Lamb, John.
Date:
M,DCC,XCIV [1794]
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Licence: Public Domain Mark

Credit: An inaugural dissertation on the apoplexy : submitted to the examination of the Rev. John Ewing ..., the Trustees and medical professors of the University of Pennsylvania : for the degree of Doctor of Medicine : on the 19th. day of May, A.D. 1794. / by John Lamb, Jun. of New-York. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    the odorous effluvia of certain fpiritous liquors as brandy, gin, kc. (and which are very commonly ufed by perfons who give themfelves up to frequent intoxication;; when this is the cafe, the caufe of the difeafe may with great certainty be pointed out; but on the other hand, when they arife from liquors that do not afford this diftinguifhing cha* racieriftic; fuch as ftrong beer, porter, and many .others, then the cafe will be more difficult, and if the phyfician does not apprehend the caufe, from the ftate of the pulfe, as to hardnefs and ten- iion, he may continue for feveral hours in doubt and painful anxiety, until the inebriating effects of the liquor go off, and leave the patient in a ftate of indirect debility. Doctor Rush fays that apoplexy differs from fleep, by coming on fuddenly without any previous fatigue : it alio differs materially from the latter, by the great difficulty there is, or indeed an utter impracticability of roufmg the patient from his apo- plectic paroxyfm. The coma which fucceeds a fit of epilepfy, has a flriking fimilitude to apoplexy— but is faid to be diftinguifhed from it by paying particular attention to the previous convulfions. The narcotic and deleterious effects of many fubftances when taken into the ftomach in large dofes, as opium, belladonna, digitalis and the differ- ent preparations of lead, he. produce fymptoms flrongly refembling thofe of apoplexy—that it will be difficult to point out the difference with preci- fion and exact limitation—experience may have fome influence in determining by the peculiar cir- cumftances of the countenance of perfons in this predicament, though they are not eafily defcrib- C 2