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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"


As to other drugs, experience has not given me much confidence in any
of those usually recommended. Strychnia, belladonna, and those
antiseptic drugs which are eliminated chiefly by the kidneys are of use
when cystitis has to be treated and the bladder muscles urged to
activity. Arsenic, the chloride of gold and sodium, and chloride of
aluminium are suggested by various authorities, but they have not been
of any value in my hands. In hopeless cases, where all treatment fails,
as will sometimes happen, or in patients in whom the paralytic stage is
already far advanced, if other measures are unsuccessful, morphia is
left as a forlorn hope, which will at least relieve their pains.
An outline report of several cases of different types and degrees is
appended:
M.P. of North Carolina, aet. thirty-seven, general health excellent until
syphilis in 1894, was admitted to the Infirmary in 1898. He had had for
two years recurrent attacks of paralysis of the external rectus muscle
of the right eye, slight gastric crises, and stabbing pains in the legs;
station very poor, but strength unimpaired, and he was able to walk
after being a few minutes on his feet; when first rising he was very
unsteady.


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