Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
Although it cannot be difficult to form a diagnosis between the
ebullitions of passion, the extravagance of intoxication, or the
delirium of fever, and the violence of deportment arising from insanity,
yet it may in some cases be not easy to discriminate between this latter
condition and that which is associated with excessive enthusiasm; nor is
it always easy to discriminate between eccentricity and insanity; do we
not, says _Dr. Male_, see a wretch disinherit his own children, who have
committed no fault, and bestow his wealth upon a stranger? another who
prefers poverty and rags, and communion with vagabonds, to the social
intercourse and proffered kindness of his friends and relations? yet who
shall pronounce them to be insane? that they are so, there can be no
doubt, and their disease is perhaps of the most unfortunate character,
for all their other actions being consistent with sound reason, it is
difficult to convince a jury of their insanity, and to divest them of
the power of heaping ruin upon their families, and disgrace upon
themselves.
The bodily marks which distinguish the insane are, a peculiar cast of
countenance, familiar to those versed in the malady; a quick, oftentimes
protruded and glistening eye; the body is generally costive; in some
cases the insane person is enabled to sustain cold with impunity, and he
is insensible to the agency of ordinary stimuli; and the stomach and
bowels, from deficiency of irritability, require large doses of medicine
to move them; among the physical phenomena of insanity, _M. Esquirol_
observes that few are more constant or remarkable than want of sleep,
and that peculiarly disagreeable odour from the body, as well as the
excretions of the patients, which impregnates the clothes and bedding.
They are devoured with a burning internal heat; and generally have a
voracious appetite, and are afflicted with pain in some organ or part,
especially the head, the chest, or the abdomen, which the unhappy
sufferers are ready to attribute to the malevolence of their enemies.
In deciding upon that species of insanity which is termed _Melancholia_,
we must be cautious in not confounding its symptoms with those of
_Hypochondriasis_, which is to be regarded as strictly a bodily malady;
the following remarks of _Dr. Cullen_ may tend to direct our judgment
upon this interesting subject.
Public-domain text, read in full here on John Shaqi.
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