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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"

Knee-jerk lost, no reinforcement. No sexual power. Some
difficulty in emptying the bladder. Examination showed slight atrophy of
both optic nerves, Argyll-Robertson pupil, and myosis. He was ordered
two weeks' rest in bed, with massage, cool sponging daily, and
galvanization of the areas of neuralgia. After two weeks he was allowed
to get up gradually, to occupy himself as he pleased, but not to walk.
Lessons in balance and co-ordination were begun in the fourth week of
treatment, and supervised carefully for two weeks more. When his station
and gait were both improved, he was permitted to walk, always with care
not to fatigue himself. At this time, six weeks from commencement of
treatment, his eyes were glassed by Dr. de Schweinitz. He had gained
some pounds in weight, and walked on straight lines without noticeable
incooerdination, but in turning short or walking sharp curves he was
still unsteady. He found walking much easier than formerly and was less
easily tired. After nine weeks he could stand or walk, even backward,
with closed eyes. He was sent home for the summer, with directions to
continue his co-ordination movements, to walk very little, and take
such exercise as he needed on horseback, riding quietly.


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