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Mitchell, S. Weir (Silas Weir), 1829-1914

"Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria"


I need hardly say that I do not mean by this that the mere addition of
blood and normal flesh is what we want, but that their gradual increase
will be a visible result of the multitudinous changes in digestive,
assimilative, and secretive power in which the whole economy inevitably
shares, and of which my relation of cases will be a better statement
than any more general one I could make here.
Such has certainly been the result of my own very ample experience. If I
succeed in first altering the moral atmosphere which has been to the
patient like the very breathing of evil, and if I can add largely to the
weight and fill the vessels with red blood, I am usually sure of giving
general relief to a host of aches, pains, and varied disabilities. If I
fail, it is because I fail in these very points, or else because I have
overlooked or undervalued some serious organic tissue-change. It must be
said that now and then one is beaten by a patient who has an
unconquerable taste for invalidism, or one to whom the change of moral
atmosphere is not bracing, or by sheer laziness, as in the case of a
lady who said to me, as a final argument, "Why should I walk when I can
have a negro boy to push me in a chair?"
It will have been seen that I am careful in the selection of cases for
this treatment.


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