I. _Involuntary tremulous motion, with lessened voluntary muscular
power, in parts, not in action, and even supported._
It is necessary that the peculiar nature of this tremulous motion
should be ascertained, as well for the sake of giving to it its
proper designation, as for assisting in forming probable conjectures,
as to the nature of the malady, which it helps to characterise.
Tremors were distinguished by Juncker into Active, those proceeding
from sudden affection of the minds, as terror, anger, &c. and Passive,
dependant on debilitating causes, such as advanced age, palsy, &c[2].
But a much more satisfactory and useful distinction is made by Sylvius
de la Boë into those tremors which are produced by attempts at
voluntary motion, and those which occur whilst the body is at rest[3].
Sauvages distinguishes the latter of these species (_Tremor Coactus_)
by observing, that the tremulous parts leap, and as it were vibrate,
even when supported: whilst every other tremor, he observes, ceases,
when the voluntary exertion for moving the limb stops, or the part is
supported, but returns when we will the limb to move; whence, he says,
tremor is distinguished from every other kind of spasm[4].
[Footnote 2: Junckeri conspect. de tremore.]
[Footnote 3: Sect. V. Ubi autem solito pauciores deferunter
ad eadem organa spiritus animales, imperfectæ ac imbecillæ
observantur fieri eadem functiones, in motu tremulo et
infirmo, nec diu durante, in visu debili, ac mox defatigato,
&c.
Sect. XIX. Inæqualiter, inordinatè, ac præter contraque
voluntatem moventur spiritus animales per nervos ad partes
mobiles, in motu convulsivo, ac tremore, quassuve membrorum
coacto.
Distinguendus namque his tremor quiescente licet ac
decumbente corpore molustus a motu tremulo, de quo dictum.
Sect. V. Quique quiescente corpore cessat, eodemque iterum
moto repetit.
Sect. XXV. Coactus tremor debetur animalibus spiritibus
inordinatè ac continuo, cum aliquo impetu ad trementium
membrorum musculos per nervos propulsis: sive fuerit is
universalis, sive particularis, sive corpus fuerit ad huc
robustum sive debile, Sylvii de la Boe. Prax. lib. i. cap.
xlii.]
[Footnote 4: Nosolog. Methodic. Auctore Fr. Boissier de
Sauvages, Tomi. II. Partis ii. p. 54. 1763.]
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