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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"

A
full hour's rest in bed, preferably in a darkened room, must follow the
rubbing.
A schedule for the day on about the lines of the "partial rest"
schedule, as described on a previous page, should be followed. A
prolonged warm bath, with cool sponging after, if the latter be well
borne, is useful in lessening pains and nervous irritability,--and this
may begin the day or be used at any convenient hour.
At an hour as far from the massage as possible lessons in co-ordinate
movements are given, after a week or ten days of massage has prepared
the muscles, and baths and a quiet life have steadied the nerves. For
many years past, certainly fifteen or sixteen, the students and
physicians who have followed my service at the Infirmary for Nervous
Diseases have seen this systematic training given, and no doubt they
received with some amusement the excitement about it as a new method of
treatment when it was proclaimed in Europe two or three years ago.
The indication for this teaching appeared too obvious to publish or talk
much about. The patient has incooerdination; one, therefore, does one's
best to teach him to co-ordinate his movements by small beginnings and
by small increases.


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