CASE III.

G. H. a man twenty-six years of age, was received into the hospital July

18th, 1795. It was stated that he had been disordered six weeks previous

to his admission, and that he had never had any former attack. He had been

a drummer with a recruiting party, and had been for some time in the habit

of constant intoxication, which was assigned as the cause of his insanity.

He continued in a violent and raving state about a month, during the whole

of which time he got little or no sleep. He had no knowledge of his

situation but supposed himself with the regiment, and was frequently under

great anxiety and alarm for the loss of his drum, which he imagined had

been stolen and sold. The medicines which were given to him he conceived

were spirituous liquors, and swallowed them with avidity. At the

expiration of a month, he was very weak and reduced; his legs became

oedematous--his pupils were much diminished. He now believed himself a

child, called upon the people about him as his playfellows, and appeared

to recall the scenes of early life with facility and correctness. Within

a few days of his decease he only muttered to himself. August 26th, he

died. He was opened six hours after death. The pericranium was loosely

adherent. The tunica arachnoides had generally lost its transparency, and

was considerably thickened. The veins of the pia mater were loaded with

blood, and in many places seemed to contain air. There was a considerable

quantity of water between the membranes, and as nearly as could be

ascertained about four ounces in the ventricles, in the cavity of which,

the veins appeared remarkably turgid. The consistence of the brain was

more than usually firm.

Observations on insanity · 第 12 / 45 题