Excerpt from Observations on the Religious Delusions of Insane Persons, and on the Practicability, Safety, and Expediency of Imparting to Them Christian With Which Are Combined a Copious Practical Description and Illustration of All the Principal Varieties of Mental

The violent emotions of a patient labouring under a paroxysm of mania, form no criterion by which to regulate our depletions. They are the effects of a disordered fancy, like the deliri ous ravings of typhus fever, and may be aecom panied by such a diminution of arterial strength, that an average bleeding would be fatal to the patient's reason, if not to his life. But if with noise, and restlessness, and obstinate resistance, and possibly a disposition to strike every one within reach, there is a strong pulse full or hard, with other signs of inflammatory fever, an ordinary bleeding may in all probability be had recourse to with advantage; and if these symptoms do not give way, and marks of debility are not present, it may be safe to repeat it in two or three days, or sooner, and to follow up the second operation by the abstraction of blood locally.

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