After the stomach improved
he grew better with unusual rapidity. He is now able to work hard again,
travels extensively, can walk strongly, but wisely takes his exercise
more in the form of massage and systematic gymnastics. He appears to
report himself once or twice a year. There has been a partial return of
sexual ability.
The next case has points of interest in the later history, but the first
examinations and early treatment may be passed over briefly. X.Y., aet.
forty-two, a steady, sober merchant, closely confined by his business,
always of excellent habits, with no possible suspicion of syphilis, was
seen first in 1894 in a somewhat advanced stage of tabes, but with no
optic or gastric disturbances. His station was very bad, but when once
erect and started he could walk without a stick. Girdle-pains very
marked; bowels very constipated; some trouble in emptying bladder;
several points of fixed sharp pain; lightning pain occasional and
severe, but not frequent. He was ordered to bed for six weeks.
Galvanism, alternate hot- and cold-water applications to the tender
spots, careful massage, and a two-months' course of Brown-Sequard fluid
after getting up made a new man of him.
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