On the Preparations of the Indian Hemp, or Gunjah (Cannabis Indica): Their Effects on the Animal System in Health, and Their Utility in the Treatment of Tetanus and Other Convulsive DiseasesO'Shaughnessy, W. B.
Science
On the Preparations of the Indian Hemp, or Gunjah (Cannabis Indica): Their Effects on the Animal System in Health, and Their Utility in the Treatment of Tetanus and Other Convulsive Diseases
O'Shaughnessy, W. B.
Cannabis -- Physiological effect; Cannabis -- Therapeutic use
Returning then to the first, an emetic was directed to be prepared,
and while waiting for it I chanced to lift up the patient’s arm. The
professional reader will judge of my astonishment, when I found that
it remained in the posture in which I placed it. It required but a
very brief examination of the limbs to find that the patient had by
the influence of this narcotic been thrown into that strange and most
extraordinary of all nervous conditions, into that state which so few
have seen, and the existence of which so many still discredit--the
genuine _catalepsy_ of the nosologist.
It had been my good fortune years before to have witnessed two
unequivocal cases of this disorder. One occurred in the female clinical
ward in Edinburgh, under Dr. Duncan’s treatment, and was reported by
myself for the “Lancet,” in 1828. The second took place in 1831, in a
family with whom I resided in London. This case was witnessed by Dr.
Silver, Mr. G. Mills, and several other professional friends. In both
these cases the cataleptic state was established in full perfection,
and in both the paroxysm terminated suddenly without any evil
consequence.
To return to our patient; we raised him to a sitting posture, and
placed his arms and limbs in every imaginable attitude. A waxen figure
could not be more pliant or more stationary in each position, no matter
how contrary to the natural influence of gravity on the part.
To all impressions he was meanwhile almost insensible; he made no
sign of understanding questions; could not be aroused. A sinapism to
the epigastrium caused no sign of pain. The pharynx and its coadjutor
muscles acted freely in the deglutition of the stimulant remedies which
I thought it advisable to administer, although the manifest cataleptic
state had freed me altogether of the anxiety under which I before
labored.
The second patient had meanwhile been roused by the noise in the ward,
and seemed vastly amused at the strange aspect and the statue-like
attitudes in which the first patient had been placed, when on a
sudden he uttered a loud peal of laughter, and exclaimed that “four
spirits were springing with his bed into the air.” In vain we
attempted to pacify him; his laughter became momentarily more and more
incontrollable. We now observed that the limbs were rather rigid, and
in a few minutes more his arms or legs could be bent, and would remain
in any desired position. A strong stimulant drink was immediately
given, and a sinapism applied. Of the latter he made no complaint, but
his intoxication led him to such noisy exclamations that we had to
remove him to a separate room; here he soon became tranquil, his limbs
in less than an hour gained their natural condition, and in two hours
he represented himself to be perfectly well and excessively hungry.
The first patient continued cataleptic till one, a.m., when
consciousness and voluntary motion quickly returned, and by two, a.m.,
he was exactly in the same state as the second patient.
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