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Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria By: S. Weir Mitchell (1829-1914) |
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AN ESSAY ON THE TREATMENT OF CERTAIN FORMS OF NEURASTHENIA AND HYSTERIA. BY S. WEIR MITCHELL, M.D., LL.D. HARV., MEMBER OF THE NATIONAL ACADEMY OF SCIENCES. EIGHTH EDITION.
EDITED, WITH ADDITIONS, BY JOHN K. MITCHELL, M.D. PHILADELPHIA: J.B. LIPPINCOTT COMPANY. LONDON: 5 HENRIETTA STREET, COVENT GARDEN 1911. Copyright, 1877, by J.B. LIPPINCOTT & CO. Copyright, 1883, by J.B. LIPPINCOTT & CO. Copyright, 1891, by J.B. LIPPINCOTT COMPANY. Copyright, 1897, by J.B. LIPPINCOTT COMPANY. Copyright, 1900, by J.B. LIPPINCOTT COMPANY. Copyright, 1905, by S. WEIR MITCHELL.
ELECTROTYPED AND PRINTED BY J.B. LIPPINCOTT COMPANY, PHILADELPHIA,
U.S.A.
PREFACE TO THE EIGHTH EDITION.
The continued favor which this book has enjoyed in Europe as well as in
this country has rendered me doubly desirous to make it a thorough and
clear statement of the treatment of the kind of cases which it discusses
as carried out in my practice to day. In the endeavor to do this, the present edition, like the last two, has
been carefully revised by my son, Dr. John K. Mitchell, and there is no
chapter, and scarcely a page, where some alteration or addition has not
been made, besides those of the sixth and seventh editions, as the
result of added years of experience. Especially in the chapters on the
means of treatment some details have been thought worth adding to help
the statement so often repeated in the book that success will depend on
the care with which details are carried out. The chapter on massage,
rewritten for the last edition, has been once more revised and somewhat
extended, in order to make it an accurate as well as a scientific, if
brief, statement of the best method which use and observation have
taught us. A chapter on the handling of several diseases not described
in former editions has been added by the editor. S. WEIR MITCHELL. SEPTEMBER, 1899.
CONTENTS. PAGE
CHAPTER I.
INTRODUCTORY 9 CHAPTER II.
GAIN OR LOSS OF WEIGHT CLINICALLY CONSIDERED 14 CHAPTER III.
ON THE SELECTION OF CASES FOR TREATMENT 33 CHAPTER IV.
SECLUSION 50 CHAPTER V.
REST 67 CHAPTER VI.
MASSAGE 80 CHAPTER VII.
ELECTRICITY 108 CHAPTER VIII.
DIETETICS AND THERAPEUTICS 119 CHAPTER IX.
DIETETICS AND THERAPEUTICS ( Continued ) 171 CHAPTER X.
THE TREATMENT OF LOCOMOTOR ATAXIA, ATAXIC
PARAPLEGIA, SPASTIC PARALYSIS, AND PARALYSIS
AGITANS 197 INDEX 233
CHAPTER I. INTRODUCTORY.
For some years I have been using with success, in private and in
hospital practice, certain methods of renewing the vitality of feeble
people by a combination of entire rest and excessive feeding, made
possible by passive exercise obtained through the steady use of massage
and electricity. The cases thus treated have been chiefly women of a class well known to
every physician, nervous women, who, as a rule, are thin and lack
blood. Most of them have been such as had passed through many hands and
been treated in turn for gastric, spinal, or uterine troubles, but who
remained at the end as at the beginning, invalids, unable to attend to
the duties of life, and sources alike of discomfort to themselves and
anxiety to others. In 1875 I published in "Séguin's Series of American Clinical Lectures,"
Vol. I., No. iv., a brief sketch of this treatment, under the heading
of "Rest in the Treatment of Nervous Disease," but the scope afforded
me was too brief for the details on a knowledge of which depends success
in the use of rest, I have been often since reminded of this by the many
letters I have received asking for explanations of the minutiæ of
treatment; and this must be my apology for bringing into these pages a
great many particulars which are no doubt well enough known to the more
accomplished physician. In the preface to the second edition I said that as yet there had been
hardly time for a competent verdict on the methods I had described... Continue reading book >>
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