LXXXVI.—Hypochondria and Hysteria.
A disarrangement of the system, and inaction of the abdomen, cause much uneasiness and discontent. This disease being moral as well as physical, requires pure air, scenery, society, and a complete change in the manner of living. What is so calculated to combat this complaint as Hydropathy?
A patient became hypochondriac, in consequence of chronic derangement of bowels, struck with rush of blood to the head, face became crimson, lost speech and consciousness, had convulsions and spasmodic movement of the arms.
First operation was to put him into a cold bath, and use strong friction for an hour. He was put into a packing-sheet, in which he became delirious; he was then rubbed by four men in a tepid bath, 64°. He was still unconscious and yet winced on being pinched; water thrown on his head caused a slight cry; great heat on the head. On ceasing the cold affusion, pulse though oppressed began to be felt—eyes fixed—conjunctiva inflamed.
Friction continued two hours, then ceased for one hour and a half, and begun again: in an hour spasms ceased, eyes began to move, without seeing. Patient apparently exhausted, pulse gained its power, though still often intermittent, upper part of the body hot, lower extremities could not be warmed all night, consciousness had not returned in the morning, pulse better, but sleep interrupted,—patient groaning. All night wet bandage applied to the head. At 6 o’clock next morning, sweating process, perspiration preceded consciousness, up to which moment patient was insensible to all that had occurred. After half an hour’s sweating, he was well rubbed in tepid bath 66°, and put to bed, when he slept. On awaking he partook of bread and milk.
At 2 o’clock p.m., awoke covered with perspiration, and from that time until next morning, slept at intervals, pulse regular, talked calmly and rationally, bowels in a normal state.
In the morning, packing-sheet; and later, sweating process; both followed by tepid bath 64°—temperature of the body still high. After good night’s rest, appetite returned, and so much better as to renew the treatment to effect a cure of that which brought him to Gräfenberg.