Fat and Blood: An Essay on the Treatment of Certain Forms of Neurasthenia and HysteriaMitchell, S. Weir (Silas Weir)
Science
Fat and Blood: An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria
Mitchell, S. Weir (Silas Weir)
Hysteria; Neurasthenia; Rest
Neither am I always satisfied with the ophthalmologist's dictum that
there is a defect so slight as to need no correction, being well aware,
as I have elsewhere pointed out, that even minute ocular defects are
competent mischief-makers when the brain becomes what I may permit
myself, using the photographer's language, to call sensitized by
disease.
The following illustrations of success in this mode of treatment are
taken from Dr. Playfair's book:[29]
"Early in October of last year I was asked to see a lady thirty-two
years of age, with the following history. She had been married at the
age of twenty-two, and since the birth of her last child had suffered
much from various uterine troubles, described to me by her medical
attendant as 'ulceration, perimetritis, and endometritis.' Shortly after
the death of her husband, in 1876, these culminated in a pelvic abscess,
which opened first through the bladder and afterwards through the
vagina. Paralysis of the bladder immediately followed the appearance of
pus in the urine, and from that time the urine was never spontaneously
voided, and the catheter was always used. Soon after this she began to
lose power in the right leg, and then in the left, until they both
became completely paralyzed, so that she could not even move her toes,
and lay on her back with her legs slightly drawn up, the muscles being
much wasted. Towards the end of 1877, after some pain in the back of
her neck and twitching of the muscles, she began to lose power in her
left arm and in her neck, so that she lay absolutely immobile in bed,
the only part of her body she was able to move at all being her right
arm. Up to this time the pelvic abscess had continued to discharge
through the vagina, and occasionally through the bladder, but it now
ceased to do so, and there were no further symptoms referable to the
uterine organs. Her general condition, however, remained unaltered, in
spite of the most judicious medical treatment. She was seen, from time
to time, by several of our most eminent consultants, all of whom
recognized the probable hysterical character of her illness, but none of
the remedies employed had any beneficial effect. There was almost total
anorexia, the amount of food consumed was absurdly small, and the
necessary consequence of this inability to take food, combined with four
years in bed with paralysis of the greater part of the body, and the
habitual use of chloral to induce sleep, had reduced a naturally fine
woman to a mere shadow. In October, 1880, her medical attendant was good
enough to bring her to London for the purpose of giving a fair trial to
the Weir Mitchell method of treatment, with the ready co-operation of
herself and her friends, and she was conveyed on a couch slung from the
roof of a saloon carriage, so as to avoid any jolt or jar, since the
slightest movement caused much suffering. Two days after her arrival my
friend Dr. Buzzard saw her with me, and, after a careful and prolonged
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account