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Updated: May 17, 2025


Within a few hours the abdomen had become tympanitic, the pains continued with exacerbations upon motion, after eruetations, and on talking; the entire abdomen was very sensitive. Strangury with the frequent discharge of scant urine was observed.

Lunatics, from the excitation of various causes, become at times more violent or desponding, and these exacerbations are often succeeded by tranquillity and cheerfulness, they are more tractable, and less impelled to urge the subjects of their prevailing delusions: but this apparent quietude or assumed complacency, does not imply a renunciation of their perverted notions, which will be found predominant whenever they are skilfully questioned.

"Kate, you're an angel and I'm a brute," he said one day after one of these exacerbations of temper; "I don't see how you can bear with me." "Bear with you, Zenas!" she replied, tears of sympathy rilling her eyes, "I could give my life for you. Alas! my brother, very far from an angel am I; I am a poor weak sinner, and I need the grace of God every day to cleanse my heart and keep it clean."

The monomania of suspicion. 3. Chronic alcoholism, characterized by failure of the memory and power of judgment, with partial paralysis generally ending fatally. 4. Dypsomania, or an irresistible craving for alcoholic stimulants, occuring very frequently, paroxysmally, and with constant liability to periodical exacerbations, when the craving becomes altogether uncontrollable.

The unfortunate propensity of the little governor to experiment and innovation, and the frequent exacerbations of his temper, kept his council in a continual worry; and the council being to the people at large what yeast or leaven is to a batch, they threw the whole community in a ferment; and the people at large being to the city what the mind is to the body, the unhappy commotions they underwent operated most disastrously upon New Amsterdam; insomuch that, in certain of their paroxysms of consternation and perplexity, they begat several of the most crooked, distorted, and abominable streets, lanes, and alleys, with which this metropolis is disfigured.

It is the insanity in chronic form which escapes asylum care and custody except in its exacerbations; it is the insanity of organism which gives so much of the erratic and unstable to society, in its manifestations of mind and morals; it is the form of unstable mental organism which, like an unstrung instrument jangling out of tune and harsh, when touched in a manner to elicit in men of stable organisms only concord of sweet, harmonious sounds; it is the form of mental organism out of which, by slight exciting causes largely imaginary, the Guiteaus and Joan d'Arcs of history are made, the Hawisons and Passanantis and Freemans, and names innumerable, whose deeds of blood have stained the pages of history, and whose doings in our day contribute so largely to the awful calendar of crime which blackens and spreads with gore the pages of our public press.

Until within the last fifteen or twenty years, a large proportion of the medical profession not only favored this view, but made constant prescription of alcohol in one form or another, the sad results of which too often made their appearance in exacerbations of disease, or in the formation of intemperate habits among their patients.

Cases of simple glaucoma do run their course of many years to complete blindness, or to death, without exacerbations, inflammation, or characteristic pain. In such cases the intra-ocular tension does not rise suddenly; and it may be little or not at all elevated above the usual normal limit.

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