She was a naturally fine and highly-cultivated woman, greatly
emaciated, with a dusky, sallow complexion, and dark rims round her
eyes. I could find no evidence of organic disease of any kind. Whatever
lesion of the uterine organs had previously existed had disappeared, and
I therefore paid no attention to them. Within a week I had the patient
lying in a bright sunlit room in the front of the house, with the
windows open, and she complained no longer of the noise. Within ten days
the whole spine could be rubbed freely from top to bottom, and from the
first I directed the masseuse to be relentless in her manipulation of
this part of the body. In a few weeks she had gained flesh largely, the
dusky hue of her complexion had vanished, and she looked a different
being. The only trouble complained of was sleeplessness, but it did not
interfere with the satisfactory progress of the case, and no hypnotic
was given. After the first few days we had no return of the nerve-crises
which in the country had formed so characteristic a part of her illness.
Her hands and feet also, at first of a remarkable deadly coldness, soon
became warm, and remained so. In five weeks she was able to sit up, and
before the fifth week of treatment was completed I took her out for a
drive through the streets in an open carriage for two hours, which she
bore without the slightest inconvenience, and the result of which she
thus described in a letter the same evening: 'I never enjoyed anything
more in my life. I cannot describe my delight and my astonishment at
being once more able to drive with comfort. My back has given me no
trouble, and I was not really tired.' This lady has since remained
perfectly well, and I need give no better proof of this than stating
that she has started with her husband on a tour round the world, _via_
India, Japan, and San Francisco, and that I have heard from her that she
is thoroughly enjoying her travels."
"The last example with which I shall trespass on your patience I am
tempted to relate because it is one of the most remarkable instances of
the strange and multiform phenomena which neurotic disease may present,
which it has ever been my lot to witness. The case must be well known to
many members of the profession, since there is scarcely a consultant of
eminence in the metropolis who has not seen her during the sixteen
years her illness has lasted, besides many of the leading practitioners
in the numerous health-resorts
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