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se fits may be divided into two kinds--the _strong_
and the _weak_.
2635. 1. _The strong kind_.--These cases mostly occur in stout, strong,
short-necked, bloated-faced people, who are in the habit of living
well.--_Symptoms_. The patient may or may not have had headache, sparks
before his eyes, with confusion of ideas and giddiness, for a day or two
before the attack. When it takes place, he falls down insensible; the
body becomes paralyzed, generally more so on one side than the other;
the face and head are hot, and the blood-vessels about them swollen; the
pupils of the eyes are larger than natural, and the eyes themselves are
fixed; the mouth is mostly drawn down at one corner; the breathing is
like loud snoring; the pulse full and hard.--_Treatment_. Place the
patient immediately in bed, with his head well raised; take off
everything that he has round his neck, and bleed freely and at once from
the arm. If you have not got a lancet, use a penknife or anything
suitable that may be at hand. Apply warm mustard poultices to the soles
of the feet and the insides of the thighs and legs; put two drops of
castor oil, mixed up with eight grains of calomel, on the top of the
tongue, as far back as possible; a most important part of the treatment
being to open the bowels as quickly and freely as possible. The patient
cannot swallow; but these medicines, especially the oil, will be
absorbed into the stomach altogether independent of any voluntary
action. If possible, throw up a warm turpentine clyster (two
tablespoonfuls of oil of turpentine in a pint of warm gruel), or, if
this cannot be obtained, one composed of about a quart of warm
salt-and-water and soap. Cut off the hair, and apply rags dipped in weak
vinegar-and-water, or weak gin-and-water, or even simple cold water, to
the head. If the blood-vessels about the head and neck are much swollen,
put from eight to ten leeches on the temple opposite to the paralyzed
side of the body. Always send for a surgeon immediately, and act
according to the above rules, doing more or less, according to the means
at hand, and the length of time that must necessarily elapse until he
arrives. A pint, or even a quart of blood in a very strong person, may
be taken away. When the patient is able to swallow, give him the No. 1
pills, and the No. 1 mixture directly. [The No. 1 pills are made as
follows:--Mix 5 grains of calomel and the same quantity of antimonial
powder with a little bread-cru
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