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
EPILEPSY. There is perhaps no disease that has been more frequently
simulated with success; its characters, and mode of attack, offer great
facilities for the impostor; it does not require the unremitting caution
which other maladies exact for successful imitation, nor is it
necessary, as _Dr. Smith_ observes, to assume it but at convenient
times; it being perfectly consistent with the nature of the disorder to
be quite well in the intervals, which may be longer or shorter at the
impostor’s pleasure; during the feigned attack, the blood is generally
sucked from the gums, and the mouth made to froth by chewing soap;[564]
there is, however, one symptom of the disease which cannot be
imitated—the incontractility of the pupil of the eye, on exposure to
light, which in a real fit of epilepsy is always dilated and immoveable;
nor is the patient affected by rubbing stimulants on the nose. During
these feigned convulsions impostors have often suffered the most
flagrant liberties to be taken with their persons, without betraying the
least consciousness of what was going on, such as having pins and
needles run into different parts of their bodies; this fact admits, in
some degree, of physiological explanation; compression on the muscles,
by acting on their nervous filaments, or by some unknown influence on
the distribution of nervous energy, renders them less sensible in
proportion as they become contracted; wounds are thus often inflicted in
the field of battle which are scarcely felt during a desperate conflict,
on account of the high muscular energy of the part which is in force at
the time; indeed it may be satisfactorily shewn that convulsions, or
inordinate muscular contractions, are in themselves instinctive efforts
to diminish pain.
HYSTERIA. On account of the variety and mutability of the symptoms which
characterise this affection, but little skill is required for its
simulation. _Dr. Cullen_ is said[565] to have been deceived by a man
who, pretending to be affected with this disease, was retained in the
Edinburgh Infirmary as long as suited his convenience, and afterwards
triumphantly acknowledged the deceit; affusion of cold water, low diet,
and blisters, will generally furnish the means of detection.
The SHAKING PALSY is a frequent plea on the part of an idle beggar; and
is always suspicious, especially where the person appears to be in other
respects, in an ordinary state of vigour; this ingenious order of
mendicants, however, says _Dr. Gordon Smith_,[566] understands the art
of mimicking wretchedness too well not to have the details of their
appearance in some degree of keeping.
Public-domain text, read in full here on John Shaqi.
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