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Show ism Of Sleep} Difmfcn As to the Prognoflicks of this fatal Difeafe, it is always attended W1", the Brain) derived from the venenate nature of malignant Fevers. hath its denomination m‘ m was", g am; A'b oblivious t; inertiafluafi died; 05. ALtthargy is alfo a fleepy Difeafe, and more fevere then a Cam, and an Apoplexy, appearing in a total privation of Pulfc and Breathing, aflocia- livion"! inertem : As Semzertur hath it. So that a Lethargy is an affeétion, engaging the Patient in a conf'tant inclination to fleep, accompanied with the ted with cold Sweats, the doleful Heralds of approaching Death. A (leepy I)ifufle&ion (called by the Latina, Cams ) is near akin to an Apoplexy, differing from it only in a lefs degree (and often degeneratcs diminifhed Functions of Reafon, Imagination, and Memory, as am) "my, acontinued {low Fever, in which it diffeteth from a Carw and Apoplexy The nature or a Lethargy: into it) as having the Animal faculties lefs violated, in reference to the in- which are more high and dangerous difeafes. feat ‘of a ALethargy is feared in the more inward Reccifes of the Brain, and not The Lethargy. ward and on ward Senfes, as it is adeep Sleep, with a privation or immi- only in the Anfracrim, and Cortical part; And is ilylt'd by .xku'mz, qufle; nution at lead, of the intellectual and fenlitive Functions , accompanied with a free Refpiration, which is always deficient in an Apoplexy. In a Carm the Sleep is lefs deep, from which the Patient may bcawalted by a loud voice, or by Pulling or pinching hims whereupon he will open his Eyes, and will have only a very confufed apprehenlion ofany thing bid to him, which is wholly taken away in an Apoplexy. The feat of this Difeafe is conceived to be not only in the Cortex, but in the ambient part of the Corpus calla/um too, in which the Animal Liquor and m (Phlqgmxztitum, genitum inmeatibm fill/flaunt Ccreln‘i; VVhereupon the Antients did conceive a Lethargy to be .1 Tumor of the Brain derived from aputrefied Phlegme, productive of an Inflammation; But " humbly conceive, that this Difeafe often taketh its rife from ferous {tel nents, over- moreambient parts, and more inward fubflance furcharged with watry Hu- man, found in Hydropique perfons. This Malady may alfo be produced by a nervous Liquor, not well aéted with good Animal Spirits, as wanting their noble elai'tick Particles ; whereupon they labour with a kind of Narwfir, producliye'of Sleep and Forgetfulntfs. ' ALethargy is generated, not only by a quantity of ferous Recrements, butavenenate nature of ill Humors (in malignant Fevers ) tranlinitted by out degrees, it is the carafe of a Cams, or Apoplexy 3 f0 that grofs Humors do vitiate the Nervous Liquor and Animal Spirits, and intercept their motion fomctimes by Cotnpreffion, by the tumor of the adjacent parts, as W611 ' on the \vatry Recrements being fevered from the \ith Liquor in the Interftices of the Veflels, is carried from thence into the Chambers of the Brain 5 rollici'iilyiili: Cortex) by faeculent Humors, which happens in Blood, confatderated with l"‘,‘,""f"""d° grofs ChYme, or with a PM, afteta broken Abfcefs, following an inflamma< - The {unptumts o a Lethargy. flowing the fubflance of the (‘orrex,and more inward parts of the Brain,which hathbeeri difcovered in Dilfefied perfous, dead of a Lethargy, having the the internal Carotide Artery, into the fubfiance of the Medullary, and Cottical part of the Brain. Sometimes this Difeafe is caufed by a fource of Humors, lodged in the Ventricles, proceeding from a fall, lace-rating the Blood-veifels, whereup- 131:;111333? as by the obfirué‘tion of the Origen of the Nervous Fibrils ( feared in the Umkif Ilgi ticltfieams of the Blood (having recourfe to the Membranes, and Cortex of eminent danger, and very commonly with Death, which is accompanied inward Receffes of the Corpus callofum, and other Proceffes of the Brain. The continent caufe of a (arm is the fame in fubf'tance, but different in degree from that of a Coma and Apoplexy, it being lower then the firlit, and higher then the later difeafe; and the {tupifying Maladies have difi‘erent denominations (as the Morbifick Matter groweth more or lefs liroug) and fucceflively arife out of each other, as the later is an increafi: of the former. Sometimes the Matter of the Difeafe is at once fo highly exalted, that with- AC Of Sleep} Di 51.4 a. with an nniverfal taking away the funfiions of, and with an ill intermittent Pulfe, a froth of the Month, and cold coiliquative Sweat, the form-1mner of Death: And Blafted perfons are frequently expofed to a deadly Fit of Spirits, are very much confined, as not having a free motion into the more 1'5 Boolt HI. -fi ,,, of The (2qu of.) Lethargy. This Difeafi: is produced by a kind of Nana/i: of the Animal Spirits. A Lethargy may be ["04 duced E on ill Humozs of Li \r'rllEHJKC nature. "is Difeaée may be deri- ved from a mummy of Hemors lodg‘ ed in thc vcu- ttitlcn whence arifcth a. Lethargick difpofition, accompanied with a Fever. W" or UK An Infiance may be given of this cafe in a young Man, having Aninflant: received a blow upon his Head; whereupon he fell into a Stupor with "mm" ' ofthc adia- tion of the Membranes of the Brain. """""""‘ As to the @ragnofir of this Difeafe, it importeth great danger, as having much affinity with an Apoplexy, efpecially when it fucceedeth a. malignant or any acute Fever, not critically determined; or it happens in Child- days in a happy departure. Bed; or when it followeth other dangerous difeafes of the Head. This d1feafe fometimes is turned into an Apoplexy, and other times into 2 Fame. A Com; is a milder difeafe then a (arm, as having the Morbifick Manerdefs aPpeared very moifi, and the Ventricles over-charged with a quantity of ftrous Recrements. This Difeafe may alfo come from an Ulcer of the Brain, difcharging its in degree then the former Maladies, and is ofa ftupifying quality, Pro‘lu' cing a Salior, out of which, when the Patient being awakened, will return an anfwer, and prefently after will fall afleep again, lying with an 0P6" Pufulent Matter into the Ventricles, and Choroidal Plexes. Mouth, and a relaxed lower Jaw, fomewhat refembling the approacheso death. This difeafe often accompanieth malignant Fevers, and is fometimes Me"CC? (and a gentle Fever) taking away much of the ufe of his Reafon, mory, and Imagination ; and after many applications had been made, which Were not crowned with fticcefs, he patiently fubmitted himfelfto the Will of ‘ h" Maker, refigning his Soul into his Gracious hands. , And afterward his Brain being opened, the veffels of the rPia Menym‘c apt Feared to be highly tumefied, and the Falciforme Procefs being taken. away, a forerunnerof a Carw: and Apoplexy. This difeafe is feated in the Cortical part, and about the Anfmfiur of the Brain, and doth not penetrate the more deep Proceifes, and Simu. ThisMfi' ladyis very much related to a Carl", an 1 Apoplexy, and hath the fame Cau‘ fes, only the matter of the difeafe is lefs exalted7 and is lodged about the more ambient parts of the Brain, and procedeth frequently from the naffo‘ ' tic' aFever, and complained of a great pain in his Head, lofing his Speech, which could not be recovered by Bleeding, and the applications of Cupping213595, and other methodical courfes of Phyfick, concluding his inifeuihle Afterward his Skull being taken off, his Brainy A lerl arg'v' mav ht fuchrd from an Ulcer of the bathed _ A YOUng Man about Eighteen years old, labouring with a fevere pain of Brain. with this Ir.- 15 Head, often vomited, and for the moft part was confounded with a deep the Third Shim was found full of Blood, and the lateral Sinm being open‘ "l; were difcovered to be full of purulent Matter; and the inward furfacc PC 13 (if Rance. |