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aneurism. But by observing the decidedly nervous, hypochon-
driacal, or hysterical state of the patient, we need feel no ap-
prehension. As the nerves become toned, and the strength is
improved, these symptoms will vanish. Hysterical spasmodic
affections there are, among which are a curious class of mal-
adies which often prove exceedingly troublesome, as aphonia,
and croupy laryngeal affections, and likewise sobbing and
sneezing.
Case. — Cornelia B., aged eighteen, came under treatment,
complaining of severe pain in the dorsal region. She was
a fleshy and stout-built girl, but looking in some sense deli-
cate and unhealthy. Her business was that of a seamstress,
and of late years she had run a stitching machine, in the
employ of Hovey & Co. She reported that her pain and ex-
treme weakness had existed for the last year previous, so as to
quite disable her for work at times ; particularly did this occur
just before her catamenial periods ; the pain occupying the
middle of the back, and along the region of the spine, which
was so extremely tender to the slightest touch or pressure, that
any application of the hand to that portion of the back, even
over the dress, would cause most disagreeable sensations, and
if applied directly to the skin, bring on a turn of great suffering.
When more closely examined, I found that this pain was con-
fined to the fifth, sixth, seventh, and eighth dorsal vertebrae ; for
while on any other portion of the spine she would bear even
forcible pressure, the least touch here caused her to scream with
pain, so extreme was the sensitiveness of this portion of the back.
But mark —■ if her attention was suddenly and strongly drawn
off to some other distant object or subject, I could carefully and
adroitly glide my hand from a sound region to this exquisite-
ly tender region, and handle it roughly for that time without
producing more effect there than elsewhere. This fairly diag-
nosticated the case as what is called local hysteria in the more
common acceptation of that term.
Her treatment may be summed up thus : To have one seance
daily, and at the same time to continue the medicine that she
had been taking from her family physician, viz., Griffith's myrrh