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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 31 of 166 (18%)
remedies used, and the mode of using them in combination, I shall relate
a sufficient number of cases to illustrate both the happier results and
the causes of occasional failure.

The treatment I am about to describe consists in seclusion, certain
forms of diet, rest in bed, massage (or manipulation), and electricity;
and I desire to insist anew on the fact that in most cases it is the
combined use of these means that is wanted. How far they may be modified
or used separately in some instances, I shall have occasion to point out
as I discuss the various agencies alluded to.




CHAPTER IV.

SECLUSION.


It is rare to find any of the class of patients I have described so free
from the influence of their habitual surroundings as to make it easy to
treat them in their own homes. It is needful to disentangle them from
the meshes of old habits and to remove them from contact with those who
have been the willing slaves of their caprices. I have often made the
effort to treat them where they have lived and to isolate them there,
but I have rarely done so without promising myself that I would not
again complicate my treatment by any such embarrassments. Once separate
the patient from the moral and physical surroundings which have become
part of her life of sickness, and you will have made a change which will
be in itself beneficial and will enormously aid in the treatment which
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