XIII. _Tremors._—A general tremor is an attendant upon almost all drunkards. This proceeds from nervous irritability. Even those who are habitually temperate, have a quivering in their hands next morning, if they indulge overnight in a debauch. While it lasts, a person cannot hold any thing without shaking, neither can he write steadily. Among those who have long devoted themselves to the mysteries of Silenus, this amounts to a species of palsy, affecting the whole body, and even the lips, with a sort of paralytic trembling. On awaking from sleep, they frequently feel it so strongly, as to seem in the cold fit of an ague, being neither able to walk steadily, nor articulate distinctly. It is singular that the very cause of this distemper should be employed for its cure. When the confirmed drunkard awakes with tremor, he immediately swallows a dram: the most violent shaking is quieted by this means. The opium-eater has recourse to the same method: to remove the agitation produced by one dose of opium, he takes another. This, in both cases, is only adding fuel to the fire—the tremors coming on at shorter intervals, and larger doses being required for their removal. Drunkards are more subject than any other class of people to apoplexy and palsy. XIV. _Palpitation of the Heart._—This is a very distressing consequence of drunkenness, producing difficult breathing, and such a determination to the head as often brings on giddiness. Drunkards are apt to feel it as they step out of bed, and the vertigo is frequently so great as to make them stumble. There are some sober persons who are much annoyed by this affection. In them it may arise from spasmodic action of the fibres of the heart, nervous irritability, or organic disease, such as aneurism, or angina pectoris. XV. _Hysteria._—Female drunkards are very subject to hysterical affections. There is a delicacy of fibre in women, and a susceptibility of mind, which make them feel more acutely than the other sex all external influences. Hence the whole system is often violently affected with hysterics and other varieties of nervous weakness. These affections are not always traced to their true cause, which is often neither more nor less than dram-drinking. When a woman’s nose becomes crimsoned at the point, her eyes somewhat red, and more watery than before, and her lips fuller and less firm and intellectual in their expression, we may suspect that something wrong is going on. XVI. _Epilepsy._—Drunkenness may bring on epilepsy, or falling sickness, and may excite it into action in those who have the disease from other causes. Many persons cannot get slightly intoxicated without having an epileptic or other convulsive attack. These fits generally arise in the early stages, before drunkenness has got to a height. If they do not occur early, the individual will probably escape them altogether for the time.