One of the effects of alcohol poisoning is the inducing of a state of violent delirium, accompanied by visions of diverse animals, and sometimes by fever. This usually comes on after a long period of indulgence, insufficient food being taken during the time. It also comes on with the sudden leaving off of stimulants after excess.
Diagnosis.-Poisoning with Belladonna, an attack of acute mania (brain fever), and the delirium of typhus fever often resemble delirium tremens; but the history of the case will generally make it clear. There is almost always the history of drinking habits in delirium tremens, and very often a strong smell of spirits about the patient.
General Treatment.-This disease is always attended with danger, and the treatment should never be undertaken except by a medical man when possible. The principal thing is to keep up the patient’s strength. Strong soup or beef-tea should be administered at frequent intervals. When the patient is violent means must be taken to prevent him hurting himself or others.
Medicines.-(To be given frequently, every half-hour until their action is apparent, and then at longer intervals, as required.)
Belladonna 3.-
Flushed face, violent delirium, tries to escape.
Veratrum alb. 3.-
Cold sweat on face, anxious desire to run away, sees devils.
Ant. tart. 6.-
Foul tongue, tremulousness, vomiting, prostration.
Arsen. 3.-
At the beginning. In tobacco-chewers. Sees the room full of thieves and spectres; great anguish; fear to die; pangs of conscience.