Lectures on some points in the treatment and management of neuroses.

  • Seguin, E. C. (Edward Constant), 1843-1898.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on some points in the treatment and management of neuroses. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    weapon than in the dosage of aconitine. I have had no fatal result from it, in spite of many bold experiments.* At first I give one pill twice a day to women (who occa- sionally exhibit undue susceptibility to its influence f), and three times a day to male patients. These doses usually produce no effect, remedial or toxic, so I increase gradu- ally but steadily until in some cases I give twelve pills a day (two every three hours) before obtaining the uni- versal numbness, etc., which denote the full physiological effects of the remedy. During the spring of 1889 I gave, on one day only, as many as fourteen of these pills (equal to fourteen tvvo-hundredths, or, roughly speaking, one thir- teenth of a grain (00045)) to a large young girl twenty years of age. She felt numb through the whole body, was a little faint, and was nauseated. In the majority of cases two pills three or four times a day will produce physiological effects and suspend the pain even of severe trigeminal neu- ralgia. Having thus found the dose which is both toler- ated and efficacious, I keep it up daily for several weeks after the pain has ceased, and in convalescence direct the patient to take a large dose—two or thre? pills—at once on the least return of sharp pain. The mixed treatment which I now always give simul- taneously with the aconitine to patients with trigeminal neu- ralgia, whether they give a syphilitic history or not, J needs * The Physiological Effect of Aconitia in Posterior Spinal Sclero- sis ; Can it become an Aid in Differential Diagnosis ? Opera Minora, p. 492, and Journal of Nervous and Mental Diseases, July, 1881. f Case of a woman unpleasantly affected by one dose of one four- hundredth of a grain (0'00015), by Dr. Andrew H. Smith; cited in Opera Minora, p. 601, and Archives of Medicine (New York), June, 1882. :j: Vide The Efficacy of Iodide of Potassium in Non-Syphilitic Dis- ease of the Nervous System, Archives of Medicine (New York), June, 1883. And I believe that mercury also has a similar efficacy in some cases.