A Statistical Inquiry Into the Nature and Treatment of Epilepsy — John Shaqi
A Statistical Inquiry Into the Nature and Treatment of EpilepsyBennett, Alexander Hughes
Science
A Statistical Inquiry Into the Nature and Treatment of Epilepsy
Bennett, Alexander Hughes
Epilepsy
few weeks gradually to diminish the dose and endeavour to secure that
amount which, while it does not injuriously affect the general condition
of the patient, serves to keep the epileptic attacks in subjection. The
form of prescription to begin with in an adult has been as follows:--
R. Pot. bromid., gr. xv.
Ammon. bromid., gr. xv.
Sp. ammon. aromat., m. xx.
Infus. quassia, ad [Symbol: Apothecaries' ounce]j
M. Ft. haust. ter die, sumendus.
According to the age of the patient so must the dose be regulated; at
the same time, children bear the drug very well. The average quantity to
begin with for a child of ten or twelve years has been twenty grains
thrice daily.
In this manner I have personally treated about two hundred cases, and in
all of these most careful records have been kept, not only of their past
history, present condition, etc., but of their progress during
observation. All these, however, are not available for the present
inquiry. It is necessary in order to judge of the true effect of a drug
in epilepsy that the patient should be under its influence continuously
for a certain period of time. Now, a large number of patients,
especially amongst the working classes, cannot or will not be induced to
persevere in the prolonged treatment necessary in so chronic a disease.
They either weary of the monotony of drinking physic, especially if, as
is often the case, they are relieved for the time, or other
circumstances prevent their carrying out the regimen to its full extent.
The minimum time I have fixed as a test for judging the influence of the
bromides on epileptic seizures is six months, and the maximum in my own
experience extends to four years.[C] All other cases have been
eliminated. I have arranged this experience in the form of tables for
reference, in which will be seen at a glance--_1st_, the average number
of attacks per month in each case prior to treatment; _2nd_, the average
number of attacks per month after treatment; and _3rd_, in the event of
these being fewer than one seizure per month, the total number during
the last six months of treatment.
TABLE I.--_Sixty Cases of Epilepsy, showing Results of Treatment by the
Bromides during a Period of from 6 Months to 1 Year._
Average Average Number
No. number number attacks
of attacks attacks during
Case. per month per month last 6
_before_ _after_ months of
treatment. treatment. treatment.
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