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7512

OF THE
oors

ITALSHYOF MICHIG

THE

MEDICAL NEWS.

MDCCCLXIX.

VOL. XXVII.

PHILADELPHIA:
I E N R Y C. L E A.

1869.

THII ADELPHIA:

CGILINS, FRINTER,

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CLINICS.

jured up, in consequence of which the indi.

viduals conceive the idea that they are fet.

tered or impeded in their actions, and exe-

Clinical Lecture on a Case of Death from cute movements for their liberation.

The

Chloroform.-By Dr. Billroth, Prof. Suro psychical stimulus exhibits itself in various

gery at the Vienna University.

ways in different individuals, just as drunk-

It is customary to divide chloroform-nar. Lenness will render one man quarrelsome or

cosis into certain stages, but these, both in violent, another loving and maudlin, and a

regard to the mode and ihe rapidity of their third melancholy. Purely individual con-

sequence, vary much in different individuals. {ditions thus exert great influence. The

In the first stage, the patients are usually motory effects, besides the struggles due 10

thrown into a state of excitement, which psychical influence, are chiefly of a spas.

chiefly influences the psychical and motory modic character, exhibiting themselves in

spheres, for I know of no case in which convulsive movements of the muscles of the

excitement of the sensitive nerves through extremities, and especially of the muscles

chloroform has produced hyperæsthesia. (of deglutition and mastication.

In only quite exceptional cases are the nerves Anästhesia commences in this stage, but

of the senses abnormally excited, and sub- the patients are usually restless, and some-

jective personations induced. Commonly, times so unmanageable as to require to be

the motory stimulation is so combined with restrained by three or four men, so that any

the psychical that mental images are con- { of the more delicate operations could not be

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