Fat and Blood / An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria

by S. Weir Mitchell

Acne, caused by massage, 89.
After-treatment, importance of, 79, 195.
Albuminuria, from exercise, 101.
Alcoholism producing fat, 23.
American race peculiarities, 17, 21, 32.
Anæmia. Vide Cases.
blood-count in, 102.
diagnosis of, 104.
effects of massage in, 101.
fatigue in, 72.
Anæmic obesity, 24, 128.
Asthenia. Vide Cases.
Asthenopia, 67, 145, 149.
Ataxia. Vide Cases.
bathing in, 204, 212.
co-ordinate movements in, 204.
symptoms of, 197.
treatment of, 197.
Bathing, effects of, 67.
in ataxia, 204, 212.
Birth-palsy. Vide Cases.
Bleeding, causing increase of fat, 24.
Blood changes from massage, 99, 101, 185.
Bowditch on weight at different ages, 17, 23.
Bright's disease, a contraindication, 45.
Brown-Séquard's elixir, 212.
Brunton on effects of massage, 101.
Cases:
albuminuria, 183.
amenorrhoea, 149, 193.
anæmia, extreme, 184.
aortic stenosis, 187.
asthenia, 111, 172, 182.
ataxia, 216, 218, 220.
birth-palsy, 226.
chloral habit, 150, 154, 174, 178.
hysteria, 76, 114, 154, 157, 160, 165, 181.
hysteria and neurasthenia, 112.
hystero-epilepsy, 165.
kidney, floating, 191.
morphia habit, 154, 165.
neurasthenia, 144, 171, 174.
neurasthenia and pulmonary disease, 149, 160.
obesity, anæmic, 132, 134.
paralysis, hysterical, 134, 150.
paraplegia, ataxic, 223.
paraplegia, spastic, 228.
tabes. Vide Ataxia.
uterine disease and chloral habit, 150, 154.
Cases, selection of, 33, 60.
Chloral habit. Vide Cases.
treatment of, 137.
Chorea, 33.
Cod-liver oil enema, 140.
Constipation caused by milk diet, 125.
Contraindications to rest, etc., 45.
Corpulence, Harvey on, 129.
Diet-list, 144, 146, 159.
Dietetics, 119, 171.
Drug-habits, treatment of, 137.
Eccles on massage, 101.
Electricity, 108.
Beard on, 115.
causing insomnia, 118.
during menstruation, 90.
in ataxia, 211.
in constipation, 109.
mode of using, 108, 116.
rise of temperature from, 110, 116.
when needed, 118.
Face, massage of, 105.
Fat in alcoholism, 23.
in its relation to health, 16.
increased by bleeding, 24.
milk-diet in, 128.
mode of accumulation of, 27.
reduction of, 128.
varieties of, 25.
Food, amount of, 146, 159.
in obesity, 130.
Goitre, exophthalmic, 46.
Gymnastics, Swedish, 92.
Harvey on corpulence, 129.
Head, massage of, 105.
Headache from massage, 100.
massage for, 105.
Heart-disease, treatment of, 45.
Hysteria. Vide Cases.
Introduction, 9.
Iodide in ataxia, 201.
Iron, use of, 142.
Jackson on rest, 58.
Karell on milk-treatment, 120, 128.
Keen on albuminuria, 101.
Kidney, floating. Vide Cases.
belt for, 190.
treatment of, 48, 66, 189.
Letheby on fattening stock, 26.
Malt extract, 138.
Japanese extract of, 141.
Marshall on urinary changes, 127.
Massage, 80.
abdominal, 86.
amount of, 92.
blood-changes from, 101.
causing acne, 89.
causing headache, 100.
chilliness from, 91.
during convalesence, 34.
during menstruation, 90.
Eccles on, 101.
effect on temperature, 93.
effects of general, 98, 101.
frequency of use, 90.
in anæmia, 101.
in heart-disease, 46.
in spastic paralysis, 225.
Lauder-Brunton on, 101.
lubricant undesirable in, 89.
of face, 105.
of head, 105.
order of application, 82, 91.
sexual excitement from, 91.
why useful, 98.
Melancholia, treatment of, 46.
Menstruation, effects of rest on, 149, 193.
electricity during, 90.
massage during, 90.
Milk, in alcoholism, 137.
in chloral habit, 137.
pasteurized, 121.
peptonized, 122.
quantity to be used, 123.
sterilization of, 121.
Milk diet, 119.
constipation caused by, 125.
disappearance of uric acid during use of, 126.
effects of, on urinary pigments, 126.
general effects of, 124.
in obesity, 128.
in obesity with anæmia, 128.
Karell on, 120, 128.
precautions in using, 123.
sleepiness from, 125.
stools during use of, 125.
urinary changes from, 126.
Morphia habit, treated by rest, etc., 137, 154, 165.
Movements, co-ordinate, in ataxia, 204.
in paralysis agitans, 231.
in paraplegia, 223.
in spastic paralysis, 226.
Swedish, 92.
Neurasthenia. Vide Cases.
Nurse, choice of, 53.
Obesity, milk diet in, 128.
with anæmia, 128.
with anæmia. Vide Cases.
Ovarian disorders treated by rest, etc., 47.
Paralysis agitans, 231.
Paraplegia, ataxic, 223.
spastic, 228.
Partial rest, 63.
schedule for, 64.
Peculiarities of American race, 17, 21, 32.
Phthisis, gain of weight in, 35.
Pollock on, 35.
Playfair on nerve-prostration, 12, 150.
Quetelet on gain of weight at different ages, 17.
Rest, 57.
definition of, 62.
effects of, on menstruation, 149, 193.
in ataxia, 203, 210, 230.
in neuralgia, 58.
in spinal disease, 58, 197, 230.
Jackson on, 58.
length of, 66, 68.
mental, 71.
mode of terminating, 63, 78.
moral uses of, 69.
partial, 62.
reasons for, 61, 70, 182.
Schedule for partial rest, 64.
Seclusion, 50.
Selection of cases, 33, 60.
Soup, raw, mode of making, 139.
Spine, irritable, 163, 178.
Syphilis preceding tabes, 198, 201.
Tabes. Vide Ataxia.
Temperature after electric treatment, 110, 116.
after massage, 93.
Treatment, season for, 53.
selection of cases for, 33.
Urinary pigments, changes in, during milk diet, 126.
Weight at different ages, Bowditch on, 17, 23.
gain or loss of, 14.
loss of, relation to an anæmia, 15.
Quetelet on, 17.

THE END.

FOOTNOTES:

[1] The Systematic Treatment of Nerve Prostration and Hysteria. London, 1883.

[2] The Pennsylvania Orthopædic Hospital and Infirmary for Diseases of the Nervous System.

[3] Sur l'Homme, p. 47, et seq.

[4] Growth of Children, p. 31.

[5] See a valuable paper by Dr. Gerhard, Am. Jour. Med. Sci., 1876. Also Lectures on Diseases of the Nervous System, especially in Women. S. Weir Mitchell. Phila., 1881, p. 127. See also the papers by Dr. Morris J. Lewis on the seasonal relations of chorea, analyzing seven hundred and seventeen cases of chorea as to the months of onset (Trans. Assoc. Amer. Phys., 1892), and Osler On Chorea (1894).

[6] Statistics (Anthropological) Surgeon-General's Bureau—1875.

[7] This excess of corpulence in the English is attained chiefly after forty, as I have said. The average American is taller than the average Englishman, and is fully as well built in proportion to his height, as Gould has shown. The child of either sex in New England is both taller and heavier than the English child of corresponding class and age, as Dr. H.I. Bowditch has lately made clear; while the English of the manufacturing and agricultural classes are miserably inferior to the members of a similar class in America.