2. If we admit the old maxim: “Naturam morborum medicationes ostendunt,” as we see every day the same general therapeutics applied to both forms of pain, we have here evidence in favour of their identity: no doubt there are curative methods proper to each; for moral pain, consolations, distractions, travel; but are not opium, sedatives, and tonics employed to relieve both? 3. I brought together at the beginning of this chapter the grossest forms of physical pain and the most refined forms of moral pain; but there are composite forms in which sensations and representations seem to form an equilibrium, so that such painful states might be entered under either head. This is the case with certain melancholics of whom I shall have to speak later, but we may take as a type the hypochondriacal person in whom we find the point of junction of the two pains. The physical troubles of hypochondriasis have often been described. There are localised pains, but in addition a large number of simply represented pains, enlarged as by a lens, and referred to the lungs, the heart, the liver, the spleen, the kidneys, the stomach, the intestines. The joints are cracking; there are conjectures concerning the appearance of the face, the tongue, the urine, and above all what perpetual anxiety! One of them said: “I feel better to-day, and that makes me anxious; it is not natural.” Is this physical pain or moral pain? Sometimes one, sometimes the other predominates, according to the individual and the moment. Clouston has observed that in melancholics sadness often diminishes when physical pain increases. They are so intimately intertwined that no point of departure can be established between them. This morbid state is worthy of mention because it also is a transitional form. We need have no hesitation in generalising, and saying that there is no physical (that is to say, localised) pain, however slight, unaccompanied by some fugitive mental irritation, and no mental irritation unaccompanied by some slight physical troubles. The foregoing does not imply that grief is a very refined physical pain, or that it arises therefrom, as—according to the well-known formula: _Nihil est in intellectu quod non prius fuerit in sensu_—it is supposed that the superior forms of knowledge arise from sensation alone. That would be a misconstruction. Physical pain is not a genus of which moral pain is a species. The thesis which I maintain is that pain is always identical with itself, that it has its own conditions of existence, that the innumerable modes which it presents to us in the physical order and in the moral order are related to the sensorial or intellectual elements which excite and envelop it.[30] ----- Footnote 30: