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country life a security against it. In place of a tender childhood,
care, and educational influences being assigned, as predisposing
causes of hysteria, — exceptions there may be, — it would be far
more just to thus stigmatize, if either, a harassing or harsh
youthful experience.
Muscular Hyperesthesia — " Muscle-pains."
In hysteria, particularly, the muscular system must naturally
be expected to play an active part; indeed, the voluntary mus-
cles are a common " theatre " for the manifestation of all this
troop of phenomena, whether in the form of convulsive paroxysms,
in paralysis or debility, anaesthesia, or hyperesthesia. The most
condensed and practical views on this subject we find from the
pen of M. Briquet, of Paris, who says,* " The pains expressed
in the walls of the splanchnic cavities arc of such common
occurrence in hysteria, (but not here alone,) that all observers
have noticed them, although failing to recognize their true
source and seat. They have been usually designated as' nervous
pains,' but without any further explanation; and even the
few authors who have recognized them as being muscular have
failed to appreciate the part that hypcraisthesia of muscles plays in
hysteria, or the hysterical subject. From among four hundred
hysterical women who were examined particularly in reference
to this point, there were not more than twenty who did not ex-
hibit such muscular pains."
"Writers upon hysterical affections have passed very lightly
over this condition, although it is so constant an accompaniment
of the disease, that he thinks there is not a woman subject to hys-
teria who does not manifest it in one or more parts. But under
the term of hyperesthesia, or " exalted sensibility" there maybe
comprised various conditions formerly designated as pains, neu-
rosis, neuralgia, or other painful nervous phenomena. In the
present article M. Briquet confines himself to the consideration
of hyperesthesia, as it affects the muscles, particularly in hysteri-
* Medical Times and Gazette, 1858, p. 558.