Further report of the Commissioners in Lunacy, to the Lord Chancellor. Presented to both houses of Parliament by command of Her Majesty.
- Date:
- 1847
Licence: Public Domain Mark
Credit: Further report of the Commissioners in Lunacy, to the Lord Chancellor. Presented to both houses of Parliament by command of Her Majesty. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
428/524 page 414
![habit of trusting* the cure in a great measure to various tonic reme- dies, generous diet, with wine and cordials. In recent cases, he observes, where the re-action is excessive, and there is great vigilance, with heat of the scalp, I would use cold applications; and if I had reason to fear the existence of much passive congestion of the capillary vessels of the membranes of the brain, and noticed it to exist in those of the conjunctiva, I would apply leeches, and having satisfied myself that the intestines were perfectly free of accumulated foeces, and that no acrid matter enfeebled the stomach (an every-day source of irritation), I would give antispasmodics, stimuli, and anodynes : of the latter the following is the formula generally employed. R. Tr. hyosciami, 3j. — 5ij.; sp. aether nit. 33s. — 3j., mistime camphor (fort.), M. ft. haust. Of aperients, either R. ext. colocyntli c., 5j.; ol. croton, gtt. ii., M. ft. piluke, xii., duce vel tres pro dos. sing, vel altern.noct., or ext. hyoscyami, 9ss. ext. coloc. co. jjss. pil. hyd. 5SS. ft. pil. xxiv., ij. vel iij. oni. vel alt. noct. sumend., followed up by magnes. carb.; mag. sulph.; etinfus. sennae. My favourite tonic mix- ture consists of sodae sesquicarb. & 31]. ad 5 iij.; spt. amnion, co. & 5ij. ad 3iij.- R. zingib. 31].; cinnam. co. vel R. cardam. (simp.) 3ij.; infus. cascaril. q. s.; ut ft. mist. ibj. De qua sumend. 3j. ad 3jss. ter die. I am also in the habit of using iron, of which remedy the tinc- ture is the form I most like. I also use the sulph. quinae, the citrate of iron, and citrate of quinine and iron, and occasionally employ the iodide of potassium. Practice pursued in Laverstoch Lunatic Asylum, described by JDr. TV. Finch. Topical bleeding, leeches, and sometimes cupping ; purgatives, emetics combined with aperients, various antimonials and mercurial preparations. Warm and cold baths, general and topical, narcotics and sedatives, blisters and counter-irritations of various kinds, regular and varied exercise and amusements. In some cases tem- porary and partial restraint. Practice pursued in the Bristol Pauper Lunatic Asylum, described by Dr. It. Davis. With increased circulation in the brain and its membranes, pulse hard and rapid, tongue dry and parched, skin hot and burning, cautious venesection. Leeches to the temples, cooling lotions to the shaven head, active purgatives with calomel and neutral salts slightly nauseating doses of tartar emetic. Antiphlogistic diet;](https://iiif.wellcomecollection.org/image/b21902756_0428.jp2/full/800%2C/0/default.jpg)
