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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"


Miss P., aet. 29, weight one hundred and eleven pounds, height five feet
four inches, dark-skinned, sallow, and covered with the acne of
bromidism, had had one attack which was considered to have been
epileptic, and which was probably hysterical, but on this matter she
dwelt with incessant terror, which was fostered by the tender care of a
near relative, who left her neither by night nor by day. Vague neuralgic
aches in the limbs, with constant weariness, asthenopia, anaemia, loss of
appetite, and loss of flesh, followed. Then came spinal pain and
irregular menstruation, a long course of local cauterizations of the
womb, spinal braces, and endless tonics and narcotics.
I broke up the association which had nearly been fatal to both women,
and, confidently promising a cure, carried out my treatment in full In
three months she went home well and happy, greatly improved in looks,
her skin clear, her functions regular, and weighing one hundred and
thirty-six pounds.
It is vain to repeat the relation of such cases, and impossible to put
on paper the means for deciding--what is so large a part of success in
treatment--the moral methods of obtaining confidence and insuring a
childlike acquiescence in every needed measure.


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