On the Curability of Certain Forms of Insanity, Epilepsy, Catalepsy, and Hysteria in FemalesBrown, Isaac Baker
Science
On the Curability of Certain Forms of Insanity, Epilepsy, Catalepsy, and Hysteria in Females
Brown, Isaac Baker
Clitoridectomy
The diet must be unstimulating, and consist of milk, farinaceous food,
fish, and occasionally chicken; all alcoholic or fermented liquors being
strictly prohibited. The strictest quiet must be enjoined, and the
attention of relatives, if possible, avoided, so that the moral
influence of medical attendant and nurse may be uninterruptedly
maintained.
A month is generally required for perfect healing of the wound, at the
end of which time it is difficult for the uninformed, or non-medical, to
discover any trace of an operation.
The rapid improvement of the patient immediately after removal of the
source of irritation is most marked; first in the countenance, and soon
afterwards by improved digestion and other evidences of healthy
assimilation.
It cannot be too often repeated, that this improvement can only be made
permanent, in many cases, by careful watching and moral training, on the
part of both patient and friends.
In the large majority of cases, I have administered no medicines,
trusting entirely to recovery, after the removal of the source of
irritation. Sometimes, however, we may be materially aided by the use of
such medicines as the bromides of potassium and ammonium, belladonna,
&c.
CHAPTER III.
HYSTERIA, WITH CASES.
It may, perhaps, be necessary before relating cases which I have
treated, suffering from hysteria, to state briefly what I understand by
this term. The word Hysteria was doubtless originally used in the belief
that it depended on excessive reflex action of the nerves of the uterus
and ovaries, when these organs were excited by disease or other causes;
but this view is a very limited one, for, as Dr. Handfield Jones says,
“it does not appear that females suffering with irritable uterus are
more hysterical, often not so much so, as those who have no such
disorder.” There is, however, as I have already mentioned, in almost all
hysterical patients, an exacerbation at the menstrual periods.
Dr. Copland’s opinion, that “increased reflex excitability of the nerves
of the female generative organs is one principal causative condition of
hysterical affections,” appears to me the correct one. Romberg also
says, “from the time when hysteria has taken root, the reflex action
preponderates throughout the organism, and renders the individual more
dependent upon external stimuli.”
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