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
I might multiply these histories almost endlessly. In some cases I have
cured without fattening; in others, though rarely, the mental habits
formed through years of illness have been too deeply ingrained for
change, and I have seen the patient get up fat and well only to relapse
on some slight occasion.
The intense persistency with which some women study and dwell upon their
symptoms is often the great difficulty. Even a slight physical annoyance
becomes for one of these unhappily-constituted natures a grave and
almost ineradicable trouble, owing to the habit of self-study.
Miss P., æt. 29, weight one hundred and eleven pounds, height five feet
four inches, dark-skinned, sallow, and covered with the acne of
bromidism, had had one attack which was considered to have been
epileptic, and which was probably hysterical, but on this matter she
dwelt with incessant terror, which was fostered by the tender care of a
near relative, who left her neither by night nor by day. Vague neuralgic
aches in the limbs, with constant weariness, asthenopia, anæmia, loss of
appetite, and loss of flesh, followed. Then came spinal pain and
irregular menstruation, a long course of local cauterizations of the
womb, spinal braces, and endless tonics and narcotics.
I broke up the association which had nearly been fatal to both women,
and, confidently promising a cure, carried out my treatment in full In
three months she went home well and happy, greatly improved in looks,
her skin clear, her functions regular, and weighing one hundred and
thirty-six pounds.
It is vain to repeat the relation of such cases, and impossible to put
on paper the means for deciding--what is so large a part of success in
treatment--the moral methods of obtaining confidence and insuring a
childlike acquiescence in every needed measure.
Another class of cases will, however, bear some further illustration. We
meet with women who are healthy in mind, but who have some chronic pain
or some definite malady which does not get well, either because the
usual tonics fail, or because their occupations in life keep them always
in a state of exhaustion. If by rest we slow the machinery, and by
massage and electricity deprive rest of its evils, we can often obtain
cures which are to be had in no other way. This is true of many uterine
and of some other disorders.
Miss B., æt. 37, height five feet five inches, weight one hundred and
fifteen pounds, a schoolteacher, without any notable organic disease,
had a severe fall, owing to an accident while driving. A slight swelling
in the hurt lumbar region was followed by pain, which became intense
when she walked any distance. Loss of color, flesh, and appetite ensued,
and, after much treatment, she consulted me. I could find nothing beyond
soreness on deep pressure, and she was anything but hysterical or
emotional.
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