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cal patients, although it occurs in others ; this being the form
which has received the least attention. It is, however, of very
common occurrence, and the ignorance that has prevailed con-
cerning it has given rise to numerous and disastrous errors in
diagnosis. It may excite surprise to learn that this hyperesthesia
not only constitutes the means of recognizing the nature of
hysteria, but is a positive criterion for the decision in doubtful
cases.
This hyperesthesia is so easily recognized by the following
signs that it is surprising it has not been sooner appreciated : —
1. The pain is always located in places occupied by the fleshy
portions of muscles; or, in certain conditions, at one end of their
tendinous insertion.
2. As the superficial muscles are those usually affected, it is
felt immediately beneath the skin.
3. Slight pressure, or scratching with the end of the finger
over the affected muscle, induces or aggravates the pain.
4. The pain thus induced is very severe, causing often cries
or contortions on the part of the patient, or even an hysterical
paroxysm.
5. Movement, and especially distention, of the fibres of these
muscles, produce or exasperate the pain, while rest abates or
relieves it.
6. Feeble electro-magnetic currents, which scarcely produce a
sensation elsewhere, — i. e., when travelling through the length
of a muscle that is in a normal condition, — will induce an
amount of pain that is difficult to bear while traversing the
hyperesthetic muscle, and becomes quite intolerable when the
current is made a little stronger.
7. Under the influence of proper Faradaization, non-inflam-
matory muscular pains, including also such as the rheumatoid,
and those of lead-colic, and especially those arising from a pure
hyperesthesia of muscles, (in men or women,) are now known
to be rapidly dispersed. But we find that this hypersesthesia —
which, indeed, maybe termed " hysterical myoalgia " — is not
found to affect all muscles alike ; the superficial muscles, and
particularly those of the trunk, being the most liable to it. In