Fat and Blood - An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria by S. Weir (Silas Weir) Mitchell
page 45 of 166 (27%)
page 45 of 166 (27%)
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humor that organ until it is able to act in a more healthy manner under
ordinary conditions. It may be wise to add that occasional cases of nervousness or of nervous disturbance of digestion are seen in which the patient assimilates food better if permitted to move about directly after a meal; and I recall one instance of very persistent gastric catarrh where the uncomfortable symptoms following meals only began to disappear when as an experiment the patient was ordered to take a quiet half-hour's stroll after each meal, instead of the rest usually ordered. I am often asked how I can expect by such a system to rest the organs of mind. No act of will can force them to be at rest. To this I should answer that it is not the mere half-automatic intellectuation which is harmful in men or women subject to states of feebleness or neurasthenia, and that the systematic vigorous use of mind on distinct problems is within some form of control. It is thought with the friction of worry which injures, and unless we can secure an absence of this, it is vain to hope for help by the method I am describing. The man harassed by business anxieties, the woman with morbidly-developed or ungoverned maternal instincts, will only illustrate the causes of failure. Perhaps in all dubious cases Dr. Playfair's rule is not a bad one, to consider, and to let the patient consider, this mode of treatment as a hopeful experiment, which may have to be abandoned, and which is valueless without the cordial and submissive assistance of the patient. The muscular system in many of such patients--I mean in ever-weary, thin and thin-blooded persons--is doing its work with constant difficulty. As a result, fatigue comes early, is extreme, and lasts long. The demand for nutritive aid is ahead of the supply, or else the supply is incompetent as to quality, and before the tissues are rebuilded a new demand is made, so that the materials of disintegration accumulate, and |
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