Jahr's new manual, or, Symptomen-codex (Volume 3).

  • Jahr, G. H. G. (Gottlieb Heinrich Georg), 1800-1875.
Date:
1848-53
Catalogue details

Licence: Public Domain Mark

Credit: Jahr's new manual, or, Symptomen-codex (Volume 3). 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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    ^ DELIRIUM—DEPRESSION OF SPIRITS. modically contracted. Tlicy shriek, curse, tear their clothes and fetters. They rush upon others to injure them. The rage increases by vio- lent opposition, the patients then run against the walls, or throw themselves out of the windows. Every opposition of force brings on an attack of rage. Accompanying Symptoms. Spasmodic contractions of the fascial muscles, distortion of the eyes, cracking of the jaws, subsultus tendinum, or trembling of the limbs, frightful hallucinations ; la- mentations and curses, induced by a belief that they will be poisoned, &c. Confused delirium, with ab- rupt stuttering words and loud voice. Delirium and paroxysms of rage generally set in together. There are frequently long intervals of rest between the paroxysms— the agitation is seldom permanent. The patients think of words, and become enraged if unable to find them. Sometimes a few words are rational, the others again delirious. The face is generally straw-coloured, sometimes injected, sweat breaks out after a long paroxysm. After long and violent paroxysms the tongue becomes dry, parched, and, as well as the teeth, is covered with yellow or blackish crusts ; the movements of the limbs are un- steady, trembling as in chorea. If amaurosis supervene, the patients stagger from side to side. Both the bland and furious delirium soon increase to the highest degree of violence ; sometimes, however, the attack remains incomplete for hours and even days, and is confined to illusions of the senses and incoher- ence of the ideas, with trembling of the limbs and hurried speech. The completely developed delirium is exceedingly irregular in its course, and increases or diminishes without order or periodicity.— Sometimes the delirium progresses in paroxysms, with lucid interval?. The bland and furious delirium fre- quently alternate without regular- ity during the course of the malady, though each may exist isolatedly. Some patients are attacked with bland delirium in the day time, and furious delirium at night. Be- tween the paroxysms of alternate delirium the patients are soporous, with their eyes half closed, and frequently opened unequally, or entirely opened at times, with ster- torous breathing and muttering; this sopor likewise alternates with either kind of delirium, sets in from time to time, less frequently at night than in the day time, gene- rally one or two days after thr commencement of the disease, for minutes or hours, but is almost al- ways shorter than the paroxysms of delirium. In twenty-two pa- tients, the blood taken from a vein was unchanged, in one case only there was a buffy coat; the pulse was full and regular, 70 to 80 (Br,), Plumb, met. Depression of Spirits. 1. Depressiox of spirits, from a sensation of relaxation in the bow- els, Fer. acet. 2. Depression of spirits. Agar. Alum. Amhr. Bar. Carb.Bry. Cann. ^Pkos. Cast. Caff. Colch. Hep. s. 2- , when others are cheerful. Cic. \ , with palpitation of the heart, Natr. mur. ^- ;-, he inferred from every body's looks that he was pitied on account of his misfortune, an.l cried, Natr. mur. ^- ~—■' imagines she looks wretcli- ed, A^atr. mur. '^- ~~' ho likes to dwell on past unpleasant occurrences, ^^utr. 7nur «• -. ^vith heaviness of the feet. i^raph. •