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Fat and Blood - An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria by S. Weir (Silas Weir) Mitchell
page 18 of 166 (10%)
pound by any possible device, so that in this, as in other things, to
spend is easier than to get; although it is clear that the very thin
must certainly live, so to speak, from hand to mouth, and have little
for emergencies. Whether fat people possess greater power of resistance
as against the fatal wasting of certain maladies or not, does not seem
to be known, and I fancy that the popular medical belief is rather
opposed to a belief in the vital endurance of those who are unusually
fat.

That I am not pushing too far this idea of the indicative value of gain
of weight may be further seen in persons who suffer from some incurable
chronic malady, but who are in other respects well. The relief from
their disease, even if temporary, is apt to be signalled by abrupt gain
in weight. A remarkable illustration is to be found in those who suffer
periodically from severe pain. Cessation of these attacks for a time is
sure to result in the putting on of flesh. The case of Captain
Catlin[10] is a good example. Owing to an accident of war, he lost a
leg, and ever since has had severe neuralgic pain referred to the lost
leg. These attacks depend almost altogether on storms. In years of
fewest storms they are least numerous, and the bodily weight, which is
never insufficient, rises. With their increase it lowers to a certain
amount, beneath which it does not fall. His weight is, therefore,
indirectly dependent upon the number of storms to the influence of which
he is exposed.

At present, however, we have to do most largely with the means of
attaining that moderate share of stored-away fat which seems to indicate
a state of nutritive prosperity and to be essential to those physical
needs, such as protection and padding, which fat subserves, no less than
to its æsthetic value, as rounding the curves of the human form.
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