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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"

He
was in the habit of making his patients remain in bed for many weeks at
a time, and, if I recall his cases well, he used this treatment in just
the class of disorders among women which have given me the best results.
What these are I have been at some pains to define, and I have now only
to show why in such people rest is of service, and what I mean by rest,
and how I apply it.
In No. IV. of Dr. Seguin's series of American Clinical Lectures, I was
at some pains to point out the value of repose in neuralgias, and
especially sciatica, in myelitis, and in the early stages of locomotor
ataxia, and I have since then had the pleasure of seeing these views
very fully accepted. I shall now confine myself chiefly to its use in
the various forms of weakness which exist with thin blood and wasting,
with or without distinct lesions of the stomach, womb, or other organs.
Whether we shall ask a patient to walk or to take rest is a question
which turns up for answer almost every day in practice. Most often we
incline to insist on exercise, and are led to do so from a belief that
many people walk too little, and that to move about a good deal every
day is well for everybody.


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