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

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

Chapter 26: INDEX.
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The author presents a clinical program for renewing vitality in nervous patients by combining strict rest and seclusion with abundant feeding, passive exercise via massage and electrical stimulation, and careful monitoring of weight and blood. He outlines criteria for selecting suitable cases and gives detailed, practical instructions on isolation, prolonged rest, massage technique, use of electricity, and dietetic and therapeutic regimens, stressing meticulous execution. The work explains how to detect and reverse pathological wasting, offers procedural guidance for nurses and physicians, and applies the same treatment principles to conditions including locomotor ataxia, ataxic paraplegia, spastic paralysis, and paralysis agitans.

INDEX.

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.

[8] Zeitschrift für Biol., 1872. Phila. Med. Times, vol. iii., page 115.

[9] Letheby on Food, pp. 39, 40, 41.

[10] Am. Jour. Med. Sci.; Proc. Phil. Coll. of Phys., 1883; Phil. Med. News, April, 1883.

[11] Chorea. See Lancet, Aug. 1882.

[12] "Nurse and Patient." S. Weir Mitchell. Lippincott's Magazine, Dec. 1872.

[13] See Philip Karell's remarks on the use of treatment by milk in cardiac hypertrophy. Edin. Med. Jour., Aug. 1866.

[14] Trans. Obst. Soc. of London, vol. xxxiii.

[15] Séguin Lecture, op. cit.

[16] "Pinch" is used to avoid the use of a technical term, but should be understood to mean the grasping and squeezing of a part with the whole hand, using the palmar portion of the fingers to press the grasped mass against the "heel" of the hand. Fuller technical details of the massage process and consideration of its effects will be found in the excellent "Handbook" of Kleen, in the works of Dr. Douglas Graham, Dr. A. Symon Eccles, and in an article in Professor Clifford Albutt's "System of Medicine" (1896), by Dr. John K. Mitchell.

[17] Dr. Symon Eccles in "The Practice of Massage" recommends this order.

[18] Some care is needed not to overwork patients. For details I must refer to manuals of Swedish Gymnastics.

[19] See also page 91.

[20] A number of observations in late years have been made upon the effect of massage upon elimination. Among the articles to which the practitioner desiring further to study this subject may be referred are,—

Edin. Clin. and Path. Jour., Aug., 1884.

Jour, of Physiol., vol. xxii., p. 68.

Centralbl. f. Inner. Med., 1894, No. 40, p. 944.

Munch. Med. Woch., April 11 and April 18, 1899 (Influence of bodily exercise upon temperature in health and disease).

Numerous articles by Mosso, Arbelous, W. Bain, Lauder-Brunton, Lepicque and Marette, and Maggiora.

[21] American Journal of the Medical Sciences, May, 1894.

[22] Numerous examinations made since have quite uniformly agreed with the former remarkably constant results.

[23] J.K. Mitchell, loc. cit.

[24] Most induction batteries are without any arrangement for making infrequent breaks in the current.

[25] In the extreme constipation of certain hysterical women, good may be done by placing one conductor in the rectum and moving the other over the abdomen so as to cause full movement of the muscles. This means must at first be employed cautiously, and the amount of electricity carefully increased. It is doubtful if any movement of the intestinal muscle-fibres is thus caused, but that it is a useful method of stimulation in obstinate cases may be taken as proved.

[26] Harvey on Corpulence.

[27] The management of the morphia or chloral habit becomes much more easy under a milk diet, massage, and absolute rest, and I can with confidence commend their use in these difficult cases. Massage in the morning is liked, and general surface-rubbing without muscle-kneading at night very often proves remarkably soothing, while the rest in bed cuts off many opportunities to indulge in the temptation to secure the desired drugs.

[28] I have found that this may be usefully replaced by one of the numerous peptonized foods described in the pamphlets issued by the manufacturers of the peptonizing powders. The ready-made peptonized preparations vary very much, like some of the beef extracts, but a trial will discover which of them is best fitted for an individual case.

[29] Nerve Prostration and Hysteria.

[30] It is worth mentioning that where ataxic patients have to use canes, a crutch-cane with a base some six or eight inches long and well shod with roughened rubber is far more useful and safer than the ordinary stick.