7. The organs of sense and the moving muscles are alike liable to be affected with palsy, as in the gutta serena, and in some cases of deafness; and one side of the face has sometimes lost its power of sensation, but retained its power of motion; other parts of the body have lost their motions but retained their sensation, as in the common hemiplagia; and in other instances both these powers have perished together.
8. In some convulsive diseases a delirium or insanity supervenes, and the convulsions cease; and conversely the convulsions shall supervene, and the delirium cease. Of this I have been a witness many times in a day in the paroxysms of violent epilepsies; which evinces that one kind of delirium is a convulsion of the organs of sense, and that our ideas are the motions of these organs: the subsequent cases will illustrate this observation.
Miss G——, a fair young lady, with light eyes and hair, was seized with most violent convulsions of her limbs, with outrageous hiccough, and most vehement efforts to vomit: after near an hour was elapsed this tragedy ceased, and a calm talkative delirium supervened for about another hour; and these relieved each other at intervals during the greatest part of three or four days. After having carefully considered this disease, I thought the convulsions of her ideas less dangerous than those of her muscles; and having in vain attempted to make any opiate continue in her stomach, an ounce of laudanum was rubbed along the spine of her back, and a dram of it was used as an enema; by this medicine a kind of drunken delirium was continued many hours; and when it ceased the convulsions did not return; and the lady continued well many years, except some lighter relapses, which were relieved in the same manner.
Miss H——, an accomplished young lady, with light eyes and hair, was seized with convulsions of her limbs, with hiccough, and efforts to vomit, more violent than words can express; these continued near an hour, and were succeeded with a cataleptic spasm of one arm, with the hand applied to her head; and after about twenty minutes these spasms ceased, and a talkative reverie supervened for near an other hour, from which no violence, which it was proper to use, could awaken her. These periods of convulsions, first of the muscles, and then of the ideas, returned twice a day for several weeks; and were at length removed by great doses of opium, after a great variety of other medicines and applications had been in vain experienced. This lady was subject to frequent relapses, once or twice a year for many years, and was as frequently relieved by the same method.
Miss W——, an elegant young lady, with black eyes and hair, had sometimes a violent pain of her side, at other times a most painful strangury, which were every day succeeded by delirium; which gave a temporary relief to the painful spasms. After the vain exhibition of variety of medicines and applications by different physicians, for more than a twelvemonth, she was directed to take some doses of opium, which were gradually increased, by which a drunken delirium was kept up for a day or two, and the pains prevented from returning. A flesh diet, with a little wine or beer, instead of the low regimen she had previously used, in a few weeks completely established her health; which, except a few relapses, has continued for many years.