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ried too far. The first condition of face sufficiently firm to prevent its success, in any school, is a prepara- being blown away, or changed with tion to supply the wants of the com every strong wind, like a shifting munity. As a proof of this we would sandbar at the mouth of a river. confidently appeal to the success of The houses are set on piles, that the several private seminaries in which wind and sand may pass under them,

The inthe highest prices are paid. Take instead of covering them. for instance the school at Northamp- habitants of the place live by taking ton, Captain Patridge's school, and fish; many boats come in daily, when various private schools in this town the weather permits, and dress their and elsewhere, which have been fish on the shore. The cows come, filled so soon as parents had reason after cropping what little grass the to believe that their children would place affords, to finish their dinner obtain in them the instruction, go on animal food. They devour the remmont and improvement they beads, backbones and offal of the Deeded, though the credit of the in- fish, without leaving a particle bestitution has rested merely on the hind for the cats or crows. Nottalents and reputation of one or withstanding this convenient diet for two individuals. Public institutions their cows, it is said the proprietors strengthened by time, funds and pat- of Provincetown must abandon the ronage, certainly ought to do as privilege of keeping them, on acmuch as private and unaided ones. count of their destroying the grass We draw our inference too from the which is so useful in giving the bifact, that a good proportion of our peds something like a solid surface medical students at this time, after to live on. attending our highest medical insti

DICTIONARY. tutions for three or four years, are Colica pictonum, the painters'colic. not satisfied with their progress and Cul de sac, a sort of purse or tube attainmeols till they have diligently open at one end. labored as many more jo some of the

Encephalon, the contents of the best schools of Europe. Poverty

skull, the brain.

Enteritis, inflammation of the inmay divert a few into the shallower testines. and cheaper channels of instruction, while a more fortunate portion of students will wisely prefer the deep- Barnet Peters, Portland, Me. er and richer fountains of knowledge. Lemuel Dwelle, Augusta, Geo.

Charles S. Francis, Broadway, New York.

A few other agents will be announced

hereafter, but as there is open a direct About fifty cows live principally between this office and our subscribers,

communication, through the postoffice, on fresh fish at Proviocetown, Cape we hope they will not wait for the interCod, Ms. The town is a body of

vention of agents.

Some persons who take this paper in sand, containing no vegetable but a Alabama, Tennessee, &c, always pay little beach grass, which partially who are nearer can imitate so good an

punctually, or in advance ; subscribers serves in some places to form a sur- example, if they choose.





ADVERTISEMENTS. ble to place the least important part of

the students' course, or that in which he MEDICAL SCHOOL IN PROVI. requires least assistance from his instruct

er, in this portion of the year, in order DENCE, R. I.

that he may attend the lectures without A MEDICAL SCHOOL will be opened

any material loss of the foregoing advanat Providence on the 1st of October, tages. The means of instruction already 1827, under the direction of USHER PARsons, Professor of Anatomy and Surgery, Museum,-all the Surgical lostruments

prepared, are-a very rich Anatomical associated with two other medical gentlemen, for the purpose of educating stų- Chemical Apparatus, with tests, &c.

now in use,-a Botanical Garden,-a dents of Medicine and Surgery.

suitable rooms for Dissections,—valuable The course of instruction, conditions, l’lates, such as Cloquet's, Bell's, Deprivileges, &c. will be as follows:- The mour's, Scarpa's, Cooper's, Monro's, year to be divided into three terms: 1st and a well selected Library of about term, from the first day of February to 1200 volumes, containing all the standthe first of May ; 2d, from the first of May ard English and French authors. The to the first of October ; 3d, from the first above form a set of materials and faciliof October to the first of January. ties for medical education as complete as

is ordinarily to be found in the medical First Term.- A course of Lectures on schools of the United States, Anatomy, Physiology and Surgery, and greater than individual libraries generalinstruction in the art of Dissecting.

ly afford. Second Term.-A course of Lectures on Conditions will be, for lectures, inBotany, Chemistry, Pharmacy, and the struction, room, fuel, lights, use of Museapplication of Chemistry to the Arts. um and Library, Apparatus and Garden,

Third Term.- A course of Lectures on 60 dollars for the first year,-50 dollars the Theory and Practice of Physic, Mate- for the second year,-and 40 dollars for ria Medica and Obstetrics.

the third year. Board may be had in the

vicinity at dol. 1,75 a week. First Term.-Review of Anatomy and Surgery, Art of Dissecting and making

SURGICAL INSTRUMENTS, Anatomical Preparations for the Students'

DRUGS, &c. and applying the various kinds

of Dress D3, India


, near the head of ings, and medical treatment of surgical Central Wharf, have for sale, a very large In this term the student will be

assortment of Surgeons' Instruments, prepared to pass a close examination in Drugs, Paints, Dyestuffs, Window Glass, Anatomy, and to perform every surgical &c., at very low prices. Gentlemen wishoperation with facility and neatness. Second Term.—A review of Chemistry, call.

ing to purchase are respectfully invited to Aug. 21.

6mo. Pharmacy, Botany, and Materia Medica. Third Term.-Theory and Practice of

Physic, Surgery, Obstetrics, and Legal

Hriends and the public

, that he has Review of all the former studies, with

now established himself as a retail drugclinical instruction both in Physic and gist, at No. 188, Washington Street, opSurgery,

posite the Marlboro' Hotel, where PhysiExaminations of the students will take cians and Families may depend on the place twice or thrice in each week during most strict and personal attention to their the three years.

orders.- No Medicines will be put up unAs Medical Lectures are given in most less of the first quality. of the Medical Schools during the autum N. B. Medicines delirered at any bour nal months, it has been thought advisa- of the night.




Published weekly, by John Cotton, 184, Washington St.corner of Franklin St. -The price of this paper will vary with the time of payment. If paid on subscribing, or within 3 months after, the price will be 3 dollars per annum ; il paid after 3 months but within the year, it will be $ 3,50 ; but if not paid within the year, it will be 4 dollars. No paper to be discontinued till arrearages are paid.---All communications rea lating to the present or future concerns of this paper, to be addressed, always poste paid, to John G. Coffin.-Advertisements, 1 dollar a square.





VOL. 5.


NO. 23.

The plan

ON THE TREATMENT OF INSANITY. mitigating, if not curing the ma

lady. Our author illustrates this By Dr. KNIGHT.

position by the case of a young Concluded from page 352.

gentleman idiopathically insane, “ INSANITY," says Dr. Knight, and who, when at home, was most nis rory rarely indead idinpathic, violent and irascible, endangering and when it is, my experience the lives of his nearest relations. leads me to conclude, that it is

" By a treatment uniformly manifested in very early life, and mild, and uniformly firm, to enthat it is generally, if not always, force the rules laid down for his incurable. The patients of this conduct, I succeeded, in a few class, who have been placed un- weeks after his first admission, to der my care, have evinced anfun- make him an obedient and welltoward disposition from early in- behaved youth, even when it was fancy, much shrewdness and cun- evident that his intellect was conning in their proceedings, with siderably affected. equal hardihood or sullenness, ac- adopted was this. The periods cording as they have been treat- of rest, of meals, of exercise, and ed. The cause remains unknown lastly of study, were fixed and to me: it may be, and doubtless immutable when he became often is, an organic lesion of the refractory he was admonished'; if brain or its membranes, which is he persisted he was instantly comfrequently succeeded by epilep- pelled to obey, * except as to sy,--a case perfectly hopeless, and which may continue for years.

* “ This presumes, of course, that the Medicine has appeared to be of act committed admitted of compulsion. very equivocal ose in idiopathic As, for instance, if he were required to insanity, especially if conjoined fused,

through mere captiousness, he was with epilepsy ; but I have found conveyed to the grounds by persons suffismall quantities of blood, taken ciently powerful to make all resistance on either by leeching or by cupping, his part trivial: if, when there, he would or by the lancet from the jugular occurrence, though persuaded and gently vein or the arm, to have a con- cocrced, he was speedily removed to a stant good effect in mitigating the solitary and dark room : if he persisted to Severity, and shortening

the dura- kick the door, or was guilty of any ex

traordinary violence, he was secured by tion of the epileptic fits.” 46. efficient means to a proper place already

but, even in idiopathic insanity, prepared in this dark room : and if, baving moral treatment, especially under no other means of annoyance left, he then steady discipline by an authorized either permitted to amuse himself till be stranger, may do much towards was weary, or another habitually noidy,

P. 48.



study, which was voluntary, or whatever might be the mental only enforced by example and action, whether gay or melanpersuasion. After I had once es- choly." Our author has been tablished this system, we were obliged, in many cases, to give the best friends imaginable ; and the digitalis for two or three at the subsequent times of his be- months in succession, in small ing placed under my care, he im- doses, as from five to eight mimediately conformed, so that it nims thrice a day, which has kept was extremely difficult to detect the pulse steady, the patient beany insanity in him. Lunatics of ing able to enjoy amusements, erthis class are generally healthy.” ercise, or labor. By omitting the

medicine, he invariably found the Dr. Knight makes many useful insubordinate disposition return, remarks on medicinal treatment, with increase in the quickness of under the heads of Sedatives, in- the pulse. cluding digitalis, opium, hen Esquirol disapproves of opinm bane, &c. Cuthartics, --Émerics, and other sedatives in insanity, --Alteratives,Baths, --- Circular recommending exercise and regiSwing, &c.

the best somniferents. In respect to digitalis, Dr. K. Dr. K. cites Halloran and others confidently asserts, that this me. in favor even of opium, when judicine, on its first administration, diciously employed. But hyosis as decidedly a stimulus as bran- cyamus is preferred, and properly dy or Geneva. Our own expe- so, by Dr. Knight, and especially rience does not coincide with that when combined with camphor. of Dr. K. on this point. He ac- In admitting the utility of this knowledges, however, that after last combination, we are still disa few days, digitalis never fails posed to agree with Esquirol that, to reduce the pulse either in as a general rule, exercise and force or number. Is this the discipline are the best promoters case with brandy or Geneva ? of sleep in the insane as well as When the pulse gains in velocity the sane. and loses in power, under the in Purgatives.Dr. K. has not fluence of digitals, it is a sign of found that lunatics require more its deleterious operation, and it powerful purgatives than other should be discontinued. By due people. Occasionally, however, attention to the action of this they labor under obstinate constipowerful drug, Dr. K. avers, that pation from hardened feces imhe has uniformly found it to exert pacted in the rectum and lower a beneficial effect in allaying the portion of the colon. Here drasmaniacal paroxysms, and reducing tic purgatives are dangerous. Our

exactly in proporc author has found a suppository, tion as it reduced the pulse, composed of one or two grains of

elaterium, five of calomel, and though harmless lunatic, was put in the

five of gamboge, made up with a in the same room with him ; this has si- sufficient quantity of soap, answer lenced him in a very short time, and in the purpose. less than an hour he has come from coet

Emetics have been occasionally cion a tranquil and obliging person. This is the utmost coercion or punishment i administered by Dr. K. but not ever inflicted on a lunatic patient." 48.

stronger than a scruple of ipe

cacuán. with a grain of emetic ry Sandiford, a very fine young tartar.

woman, said to me on the 20th of Alteratives.-In all cases of long September, 1823,— Putting me standing, Dr. K. has found the in the circular swing did me more blue pill a valuable medicine. In good than anything else : it threw many cases he attributes the re- all the sour stuff off my stomach.' covery entirely to it,--and he ne- Shortly after this, she recovered, ver found it productive of any bad and was discharged well. When effects. Dr. K. apprehends that patients are very unruly, and at mercury, in any form, must be in- the same time afflicted with eijurious in recent cases of insanity, ther of these ailments, it never and where there is much excite- fails to be physically and morally ment. It may be so, if carried so beneficial. Apprehensions have far as to produce a constitutional been expressed lest the use of the effect : but, as a component of circular swing should induce apoaperient medicine, it is quite su- plexy: having attentively exaperstitious to dread the influence mined the sources of these fears, of this medicine, whose physiolo- I conclude them to be perfectly gical action seems really not to groundless ; nor have I ever seen be understood by one in five of the slightest reason to apprehend practitioners at the present day. such result, nor do I believe it Dr. K. however, is not included ever can occur, if the patient be in this class. He considers the not in a furious state when put into medicine as safe, when employed the swing ; but if he be, the exas an aperient, in cases of insanity. citement of the mind will coun

Baths.-The showerbath fre- teract the effect of the swing, quently relieves the headache and wonderfully powerful as it is. irritability in old cases, when the The act of turning him will exasskin is hot and dry. The tepid perate him still more if possible ; bath is very grateful to almost all he will struggle violently, and lunatics, and there are few cases neither stomach nor bowels be where it may not be usefully em- affected, at least for several miployed.

nutes, if at all, and the visible Circular Swing.--Dr. K. con- bloodvessels of the face and neck siders this physical agent as “pos- have become exceedingly turgid sessing immense power.” by the paroxysm of fury and ex

“A patient, subjected to its ertion : but, even in this case, it action, is speedily affected with is more than probable that artegiddiness and sickness, and the pe- rial action is checked. When ristaltic motion of the whole ali- giddiness is felt, the stomach is mentary canal seems to be ex- speedily affected, and the pulse cited, and in some instances to is lowered both in frequency and such a degree, that the patient strength,--a process not likely to volits, and passes feces in rapid terminate in sanguineous aposuccession and great abundance, plexy, the only species to be apalong with his urine. I have found prehended. With this single er. the circular swing extremely be- ception, or precaution, I consider neficial in obstinate constipation, the circular swing perfectly safe. and in dyspeptic complaints ac. It is a machine that should be eacompanied with much acid. Ma- sily accessible in every asylum

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