On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland.

Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland. 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.

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    674. After attacks of the asthenic states of apoplexy, a more tonic regimen than that directed above may he adopted; hut it should be conjoined with the same at- tention to the digestive, secreting, and excreting func- tions. Attacks of this description most commonly proceed from depressing or exhausting causes, which ought either to be avoided or counteracted; and, when they are not characterised by plethora, or disposition to increased action, gentle tonics, combined with ape- rients, a light strengthening diet, and the other means advised for palsy, when the apoplectic attack is fol- lowed by hemiplegia or any other paralytic affection, are appropriate to them. For these asthenic or non-inflam- matory cases, strychnine, or the extract of nux vomica, or the preparations of iodine, or the bichloride of mercury with the decoction of cinchona, or with the preparations of sarza, or the various modes of employing the electro- galvanic agents, may be severally tried, as noticed above. Change of air, and travelling by sea or land — on the latter by easy and slow journeys, and a strict atten- tion to diet and regimen — to a vegetable or farinaceous diet, when there is a marked tendency to plethora — are generally more or less beneficial, both after an attack of simple apoplexy, in order to prevent its re- currence, and during the persistence of palsy, when it is present either primarily or consecutively. When palsy occurs in young or middle-aged persons, exercise taken in the open air, so as to produce free perspiration, aided by an abstemious or vegetable diet, has been found most beneficial; most of the instances of re- covery from hemiplegia which I have observed have demonstrated the utility of this regimen. 675. As I believe that the structural changes in the arteries and capillaries — the alterations in the nutrition. T 2