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
electrical examination, came to the conclusion that contractility
existed in all the affected muscles, and that the paralysis was purely
functional. I could find no evidence in the pelvis of the abscess, the
uterus being perfectly mobile, and apparently healthy. After a few days'
rest the treatment was commenced on October 16, the patient being
isolated in lodgings with a nurse of my own choosing; and this was the
only difficulty I had with her, since she naturally felt acutely the
separation from the faithful attendant who had nursed her during her
long illness. Her friends agreed not to have communication with her of
any sort. It is needless to give the details of the treatment in this
and the following cases. A mere abstract will suffice to indicate the
rapid and satisfactory progress made.
"_October_ 16.--Twenty-two ounces of milk were taken, in divided doses,
in twenty-four hours; on the 17th, fifty ounces of milk; on the 18th,
the same quantity of milk repeated; massage for half an hour; on the
19th, milk as before; bread-and-butter and egg; massage for an hour and
a half; twenty minims of dialyzed iron twice daily; on the 21st, a
mutton-chop in addition to the above; massage an hour and fifty minutes.
To-day she passed water for the first time for four years, and the
catheter was never again used. Chloral discontinued, and she slept
naturally all night long. On the 23d, porridge and a gill of cream were
added to her former diet; massage three hours daily, and electricity for
half an hour, and this was continued until the end of the treatment.
Maltine was now given twice daily.
"_October_ 30.--She is now consuming three full meals daily of fish,
meat, vegetables, cream, and fruit, besides two quarts of milk and two
glasses of burgundy. Considerable muscular power is returning in her
limbs, which she can now move freely in bed.
"_November_ 6.--Sat in a chair for an hour. The massage and electricity
are being gradually discontinued, and the amount of food lessened.
"_November_ 17.--Walked down-stairs, and went out for a drive, and
henceforth she went out daily in a Bath-chair. She has increased
enormously in size, and looks an entirely different person from the
wasted invalid of a few weeks ago.
"On November 26 she went to Brighton quite convalescent, and on December
11 came up of her own accord to see me, drove in a hansom to my house,
and returned the same afternoon. She has since remained perfectly strong
and well, and has resumed the duties of life and society.
"A somewhat curious phenomenon in this case, which I am unable to
account for, was the formation on the anterior surface of the legs,
extending from below the patellæ half-way down the tibiæ, of two large
sacs of thin fluid, containing, I should say, each a pint or more,
freely fluctuating, and quite painless. I left them alone, and they have
spontaneously disappeared."
Public-domain text, read in full here on John Shaqi.
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