"
"On September 10 a gentleman came to consult me on the case of his wife,
in consequence of his attention having been directed to my former papers
by a relative who is a well-known physician in London. He informed me
that his wife was now fifty-five years of age, and that she had passed
ten years of her married life in India. At the age of thirty she was
much weakened by several successive miscarriages, and then drifted into
confirmed ill health. He wrote, on making an appointment, as follows: 'I
will give you at once a short outline of her case. We have been married
thirty-four years, of which the last twenty have been spent by her in
bed or on the sofa. She is unable even to stand, and finds the pain in
her back too great to admit of her sitting up. She is utterly without
strength, of an intensely nervous temperament, and suffers incessantly
from neuralgia. She has, moreover, an outward curvature of the spine.
There is not the slightest symptom of paralysis. Fortunately, she does
not touch morphia, or any narcotic or stimulant, beyond a glass or two
of wine in the day.
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