“Any person who—
“(1.) Wilfully violates any regulation so issued by the Local Government Board, as aforesaid; or,
“(2.) Wilfully obstructs any person acting under the authority or in the execution of any such regulation shall be liable to a penalty not exceeding five pounds.” (P. H., s. 140.)
EPIGAS′TRIC. In anatomy, pertaining to the EPIGAS′TRIUM, or the part of the abdomen over the stomach.
EPILEP′SY. Syn. Falling sickness; Epilepsia, Morbus caducus, L. The popular name of this disease arises from the patient, when attacked by it, suddenly falling to the ground. The other leading symptoms consist of convulsions, stupor, and, generally, frothing at the mouth. It comes on by fits, which after a time go off, leaving a certain amount of lassitude and drowsiness behind. Sometimes certain peculiar symptoms precede the attack. Among these, a sensation of coldness or of a current of cold air from the extremities of the body towards the head (AURA EPILEPTICA), palpitation, flatulency, stupor, and an indescribable cloud or depression, are the most common. The occurrence of these symptoms are not, however, uniform, even in the same patient; but it generally happens that the party falls down suddenly, and without the slightest warning.
Epilepsy is often symptomatic of other affections, as excessive irritation of the primæ viæ from worms, indigestible or noxious food, or poison; or it depends on local injuries, particularly those of the head, accompanied with lodgments of water on the brain, tumours, pressure, &c. Violent affections of the nervous system, sudden frights or fits of passion, violent mental emotions, the sudden suppression of old evacuations, and, in childhood, difficult teething, are also common causes of sympathetic epilepsy. Occasionally it arises from mobility of the sensorium, induced by plethora, or by excessive debility. In such cases the treatment must be energetically directed to the removal of the exciting cause.
When epilepsy occurs as an idiopathic or primary affection, or when it cannot be referred to any apparent cause, more especially when the attack commences about the age of puberty, and the fits are frequent, it is generally hereditary, and there is great danger of its terminating either in apoplexy, or lunacy, or imbecility.
The treatment of idiopathic epilepsy is principally directed to the improvement of the general health, and the diminution of nervous irritability by sedatives and tonics. Among the first, camphor, ether, henbane, hemlock, musk, oil of cajeput, opium, and morphia, and, more recently, hydrocyanic acid, have been principally relied on. Among the second, bark, cascarilla, quinine, strychnia, valerian, the sulphate of iron, zinc, and copper, arsenious acid, and nitrate of silver, have each their zealous advocates. The objection against the last preparation is the danger of its disfiguring the patient, by tinging the skin of a permanent dull, leaden hue. In cases accompanied with plethora, a low diet, daily out-of-door exercise, and the frequent use of aperients, with occasional blistering, cupping, and other depletive measures, are indicated; whilst in those marked by inanition and debility, an entirely opposite course must be adopted. When the disease is complicated with syphilis, a mild course of mercury may be given; and when with scrofula, iodine, iodide of potassium, or cod-liver oil, assisted by sea-bathing, will be proper.
Among other methods of treatment may be mentioned the administration of an active emetic or purgative, twice weekly, in the morning, when the stomach is empty. The first has now few supporters; but the second is said to be often productive of great benefit.
During a fit of epilepsy the only thing that can be done for the patient is to prevent the sufferer injuring himself, and to loosen every part of his dress that presses on his head, neck, or chest. When premonitory symptoms occur, a brisk emetic, a large dose of laudanum and ether, a cold plunge or shower bath (when not contra-indicated), or anything else which gives a sudden shock to the system or raises its tone, frequently prevents the accession of the fit.