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Under such circumstances venesection may in some cases prove a powerful adjuvant, by unloading the vessels of the brain, and thus restoring to the nervous system its necessary excitability; where its powers have been paralysed by the operation of a narcotic, a copious draught of some vegetable acid, or the affusion of cold water upon the surface of the body may impart efficiency to an emetic; the operation of Nightshade and some other narcotic poisons may be adduced in farther illustration of this subject;—an excessive dose of the Atropa Belladonna produces symptoms of alarming stupor, and so difficult is it to evacuate the stomach under such circumstances, that as much as fourteen grains of Tartarized Antimony have been administered without effect: now if in such a case a copious draught of some vegetable acid be given, the emetic will be more likely to succeed: here then we perceive, that the brain, being paralysed by a narcotic poison, is unable to lend its aid to the muscles requisite for the operation of vomiting, until its energies are restored by the anti-narcotic powers of a vegetable acid. The practical precaution which this view of the subject affords, is extremely important,—not to allow the apparently inactive state of the stomach to induce us, inconsiderately, to augment the dose of an emetic: for although the stomach, for the reasons just stated, may be unable to void its contents by vomiting, it may nevertheless retain its sensibility, and be therefore liable to inflammation: Dr. Harrison has reported a case of this kind, where the practitioner, in attempting to excite emesis in an epileptic patient, by a very large dose of sulphate of zinc, produced an inflammation in the viscus that terminated fatally.

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