mode of action, 19.

not pain, 20.

not necessarily present in epi-
lepsy, 34.

Effects of eccentric irritations, 252.
Elements of a convulsive paroxysm
exist in health, 245.

Elongation of muscles arresting at-
tacks, 97.

Emissio seminis, in attack, 275.
Emotion, cause of epilepsy, 133.
Emotional state of epileptics, 46.
Epidemic diseases, relation of epilep-
tics to, 229.

Epilepsia gravior, more common than
epilepsia mitior, 139.
symptoms of, 85.

without complete loss of con-
sciousness, 116.

Epilepsia mitior, description of, in case,

Frequency of attack, in relation to
interparoxysmal state, 156.

of attacks, generally, 146.
of fit, and hereditary taint, 162.
relative, of different forms of at-
tack, 138.

of seizure, as affected by "le
petit mal," 153.

of seizure, effect on mental condi-
tion, 181.

Fright, cause of epilepsy, 133.
Function, alone, of necessity, involved
in convulsions, 13.

and structure, their relation, 8.
Functional disease, idiopathic convul-
sions, 13.

what it is, 8.

relation to nutrition, 8.

Giddiness in epileptics, 56.

Granular degeneration of medulla ob-
longata, 240.

Groups of epileptics, formed by state
of general health, 72.
by mental condition, 41.
by motor condition, 61.
Gurgling in throat, 274.

Hair standing on end, 107.
Headache in epileptics, 55.

Health, robust, in some epileptics, 73.
Hearing, affections of, 59.
Heart, malformations of, 230.
Heart-sounds, condition of, in epilep-
tics, 234.

Hereditary predisposition, 122.

as it affects age at commence-
ment, 129.

effect of, on forms of attack, 140.
relation to mental failure, 163.
History, natural, of epilepsy, 120.
Hydatids in brain; case, 232.
Hydrocephalus, chronic, diagnosis of,
297.

Hyoscyamus, treatment by, 320.
Hypertrophy of brain, diagnosis of, 297.
Hysteria, diagnosis of, 286.

Meningitis, chronic; diagnosis of, 297.
in the course of epilepsy, 212.
Menstruation of epileptics, 236.
Mental changes before attacks, 86.
Mental condition, affected by age, 164.
influenced by form of attack, 186.
influenced by frequency of seizure,

181.

effect of severity of seizure, 185.
influence of cause of epilepsy, 192.
relation to sex, 43.

relation to hereditary taint, 162.
relation to puberty, 166.
relation to sex, 169.

relation to duration, 170.
treatment of, 336.

prognosis of, 315.

Mental failure of epileptics, how
caused, 279.

Mental failure, relation to number of
attacks, 180.

rate of, in relation to puberty,
173.

Mental integrity of epileptics, 43.
Mind, condition of, in epileptics, 40.
Mode of production of epilepsy, 250.
Moral commotion, time of its opera-
tion, 253.

Morbid anatomy of epilepsy, 239.
Morbus Herculeus, origin of name, 70.
Motility, in relation to general health,
194.

state of, in relation to mind, 175.
Motorial condition of epileptics during
interparoxysmal period, 60.
prodromata, 87.

Motor conditions, their relations, 193.
groups, formation of, 61.

Muscles, condition of, in cachexiæ,
256.

Muscular state during stupor, 115.

Naphtha, use of, 322.

Narcotics, convulsions from, 21.
Natural history of epilepsy, 120.
Negative and positive symptoms, 9.
Nitrate of silver, use of, 333.
Nosological position of epilepsy, 33.
Numerical frequency of epilepsy, 121.
Nutrition affected by reflex action, 26.
Nutrition-change, cause of convulsion,

12.

Nutrition-changes increased in con-
vulsion, 12.

Nutrition in epilepsy, 71.

in relation to vitality, 7.

Odaxismus, effect on prognosis, 316.
Odour of body in attack, 114.
Old age, commencement in, 127.
Onanism, cause of epilepsy, 136.
One-sided spasms, 107.

Pain, relation to irritation, 20.

relation to convulsion, 23.
Pallor of face in attack, 40.

how caused, 269.

Paralysis complicating epilepsy, 227.
Paroxysmal symptoms, 81, 103.
Pathology of epilepsy, 239.

Peculiar movements in an epilep-
tic, 66.

Pericarditis, cause of convulsion, 20.
Period of recurrrence of attacks, 146.
Periodicity of paroxysms, 147.
Perspiration during stupor, 116.
Physiology, deductive application of,
to epilepsy, 240.

Pineal gland, condition of, in epilep-
tics, 239.

Pituitary body, condition of, in epilep-
tics, 239.

Pneumonia, cause of convulsion, 20.
Position of body during sleep, 335.
Positive and negative symptoms, 9.
Predisposition, hereditary, 122.
Pregnancy, relation to convulsion, 20.
Premonitory symptoms, 86.
Pressure arresting attacks, 92, 97.
Pressure on vena cava, 347.

Prochaska, relation of his doctrines
to pathology of epilepsy, 241.
Prodromata, absence of, 91.

different kinds of, 89.

of attacks, 86.

Prognosis of epilepsy, 312.
Prolonged irritation, effects of, 19.
Proportion of epilepsy to diseases
generally, 121.

Proximate cause of convulsion, 12.
Psychical cause of epilepsy in relation
to mental condition, 192.

Puberty, as causative condition, 126.
commencement at,

mental state, 166.

relation

relation to convulsion, 20.
relation to epilepsy, 259.

to

Puerperal convulsions, rarity among
epileptics, 226.

Pulse during paroxysm, 112.

Pulse, how affected in epilepsy, 272.
interparoxysmal, 74.
Pulse-respiration ratio in stupor, 116.
of epileptics, 235.

Pupil, changes of, how caused, 271.
condition of, during interparox-
ysmal period, 59.

condition of, paroxysmal, 111.
during stupor, 116.

Pyæmia, cause of convulsion, 20.

Quercus viscinus, use of, 321.

Rachitis, cause of convulsion, 20.
Ratio of pulse and respiration in
stupor, 116.

Recurrence of "le petit mal," 153.
Reduction of undue excitability, 319.
Reflective functions, how altered in
epilepsy, 245.

Reflex action, on the vessels of the
brain, 24.

simple idea of, 18.

Reflex excitability, modes of trans-
mission, 264.

Regimen of epileptics, 334.

Relation of paroxysm to disease, 39.
Relations between symptoms, 136.
Remote causes of convulsion, 13.

how operative, 13.
in attack, 108.

Respiration, how arrested, 267.
Respiratory organs of epileptics, 235.
Rheumatic convulsions, diagnosis of,
296.

Robust health of epileptics, 73.

Salacity of epileptics, 236.
Salt, use of, 347.

Saturnine convulsions, diagnosis of,
296.

Scrofulosis, cause of convulsion, 20.
Secretive prodromata, 88.

Section of nerves, 346.

Sedatives, in treatment of epilepsy,
320.

Selinum palustre, use of, 321.
Semeiology of epilepsy, 38.

Sensational condition of epileptics, 55.
Sensation during attack, 105.
Sensorial prodromata, 87.
Serial attacks, 146.

Setons in epilepsy, 334.

Severity of disease measured by abso-
lute frequency of attack, 151.
Severity of seizure, relation to mental
state, 185.

Sex, which, most affected by fright, 133.
relation to mental state of epi-
leptics, 43.
Sexual differences in regard of spasm,

65.

Sex, how, predisposes to epilepsy, 124.
Sight, sense of, 59.

Site of epilepsy, 239.

Skin, duskiness of, before attacks, 86.
Sleep, how caused, 245.
Smell, affections of, 59.

Sneezing, relation to convulsion, 52.
Spasm, clonic; interparoxysmal, 63.
tonic; interparoxysmal, 63.

relation to definition of epilepsy,

31.

Spasmodic element in attack, 106.
Spinal cord, injuries of, and mode of
causing convulsion, 24.

Spinal epilepsy, of Brown-Séquard, 117.
Spinal lesions, in epilepsy, 264.

not necessarily present in epi-
lepsy, 35.

Spleen, condition of, in epileptics, 236.
Softening of brain, diagnosis of, 297.
Stages of attack, 103.

Stertor, frequency of, 115.
Strength of epileptics, 71.

Structure and function, their rela-
tion, 8.

Strychnia in epilepsy, 338.

Stupor, absence of, in lunatics, 115.
after attacks, 114.
cause of, 276.

Sugar, absence of, in urine, 114.
Symptoms, of disease generally, 6.

of attack, 103.

of epilepsy, 38.
how caused, 267.
negative and positive, 9.
paroxysmal, 81.

relations between them, 136.
Sympathetic nerves, results of Ber-
nard's experiments, 243.
Syncope, diagnosis of, 285.
Syphilis, cause of convulsion, 20.
Systemic disease, cause of convul-
sion, 20.

Taches rosées on skin, 76.
Taste, affections of, 59.
Temperature in epilepsy, 71.

Tendency to convulsion, degrees of, 17.
Throbbing in throat, cause of, 275.
Tickling, cause of epilepsy, 135.
Tickling soles of feet; case, 49, 51.
Tinnitus aurium, 59.

Tonic spasm, of attack, 107.
cause of, 267.
interparoxysmal, 64.
Tonics in epilepsy, 338.
Touch, affections of, 59.
Toxæmic convulsions, 20.
Trachelismus, effects of, 84.
rarity of, 63.

Tracheotomy, as mode of treatment,
347; results of, on pathology, 268.
Treatment of attacks, 345.

of epilepsy, 318.
Tremor described, 62.

True epilepsy, proportion to convul-
sive diseases, 121.

Tuberculosis, cause of convulsion, 20.
Tumour of brain, diagnosis of, 297.
Turpentine, use of, 322.