383. At what period of life is a lady most prone to Hysterics, and what are the symptoms?
The time of life when hysterics occur is generally from the age of fifteen to fifty. Hysterics come on by paroxysms—hence they are called hysterical fits. A patient, just before an attack, is low spirited; crying without a cause; she is “nervous,” as it is called; she has flushings of the face; she is at other times very pale; she has shortness of breath and occasional palpitations of the heart; her appetite is usually bad; she passes quantities of colorless limpid urine, having the appearance of pump-water; she is much troubled with flatulence in her bowels, and, in consequence, she feels bloated and uncomfortable. The “wind” at length rises upward toward the stomach, and still upward to the throat, giving her the sensation of a ball stopping her breathing, and producing a feeling of suffocation. The sensation of a ball in the throat (globus hystericus) is the commencement of the fit.
She now becomes partially insensible, although she seldom loses complete consciousness. Her face becomes flushed, her nostrils dilated, her head thrown back, and her stomach and bowels enormously distended with “wind.” After a short time she throws her arms and legs about convulsively, she beats her breast, tears her hair and clothes, laughs boisterously, and screams violently; at other times she makes a peculiar noise; sometimes she sobs, and her face is much distorted. At length she brings up enormous quantities of wind; after a time, she bursts into a violent flood of tears, and then gradually comes to herself.
As soon as the fit is at an end she generally passes enormous quantities of colorless limpid urine. She might, in a short time, fall into another attack similar to the above. When she comes to herself she feels exhausted and tired, and usually complains of slight headache, and of great soreness of the body and limbs. She seldom remembers what has occurred during the fit. Hysterics are sometimes frightful to witness; but, in themselves, are not at all dangerous.
384. What are the causes of Hysterics?
Delicate health, chlorosis, improper and not sufficiently nourishing food, grief, anxiety, excitement of the mind, closely confined rooms, want of exercise, indigestion, flatulence, and tight lacing are the causes which usually produce hysterics. Hysterics are frequently feigned; indeed, oftener than any other complaint; and even a genuine case is usually much aggravated by a patient herself giving way to them.
385. What do you recommend an Hysterical lady to do?
To improve her health by proper management; to rise early and to take a walk, that she may breathe pure and wholesome air,—indeed, she ought to live nearly half her time in the open air, exercising herself with walking, skipping, etc.; to employ her mind with botany, croquet, archery, or with any other out-door amusement; to confine herself to plain, wholesome, nourishing food; to avoid tight lacing; to eschew fashionable amusements; and, above all, not to give way to her feelings, but if she feel an attack approaching, to rouse herself.
If the fit be upon her, the better plan is to banish all the male sex from the room, and not even to have many women about her, and for those around to loosen her dress; to lay her in the center of the room, flat upon the ground, with a pillow under her head; to remove combs and pins and brooches from her person; to dash cold water upon her face; to apply cloths, or a large sponge wetted in cold water, to her head; to throw open the window, and then to leave her to herself; or, at all events, to leave her with only one female friend or attendant. If such be done, she will soon come round; but what is the usual practice? If a girl be in hysterics, the whole house, and perhaps the neighborhood, is roused; the room is crowded to suffocation; fears are openly expressed by those around that she is in a dangerous state; she hears what they say, and her hysterics are increased tenfold.