The author of this thesis, in speaking of delirium or febrile insanity and post-febrile insanity, says that the latter is a very rare condition, and is, generally speaking, incurable, as it is not due to the wasting and exhaustion alone, but that the specific poison of the fever is a factor in its causation. The former he classifies into simple delirium, the so-called busy delirium, delirium ferox, and low-muttering delirium. He observes that febrile insanity is most common in typhus fever (and is generally so, as in all fevers, in the male sex), then in smallpox, enteric fever, pneumonia, and erysipelas. In scarlet fever and measles it is rare. In the treatment of simple and low-muttering delirium he has found paraldehyde the most useful hypnotic. In busy delirium and delirium ferox all the ordinary hypnotics, in his experience, were practically useless. The one drug which he found to act was apomorphin in gr. doses to adults. In Dr. Jones's hands this drug had a hypnotic but no emetic effect, but he does not tell us in how many cases he obtained this result, nor as to the mode of its administration. He found—by chance, he says—that it acted better when given about ten minutes after a hypodermic of ¼ gr. morphin.
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