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patient lending herself to the task, and refusing to exercise
her command over the refractory muscles or joint." A rough
shock, or a strong moral impression, or rather " occupation that
continually interests" may at once remove the disorder in some
such cases ; but it is exceedingly doubtful in my mind whether
any such means could be productive of benefit, in many other
cases. Hysterical paraplegia may commence from irritation of
the uterine nerves. There is a form of this affection that is al-
ways accompanied by some kind of derangement in the function
of the womb, or bowels, or both, and is as totally unallied witli
organic change, or any action conducting towards such change,
either in the brain or spinal marrow. The attending " pain in
the back " is that commonly known as spinal, irritation. It va-
ries from day to day, sometimes being very severe, at others al-
most null, while perhaps slight pinching up of the integuments
that cover the spine is as productive of actual pain and suffer-
ing as firm pressure could produce. The lower extremities are
rather colder than natural, and there is an entire absence of or-
dinary sensation in them ; and when the limb or limbs arc strong-
ly flexed, there is severe pain. There is pain also from slight
pressure in the lower dorsal region, or over the sacrum. The
appetite is wrong ; the bowels are slow ; the sleep is wanting, or
is disturbed; and the urine, upon test, is found loaded with
lithates. Such it is.
Case. — Mrs. C, of Brookline, twenty-seven years of age, had
been troubled with a partial paralysis of the right lower limb for
some five years. Sometimes it would be better, and then again
there would be months together when the limb would be so par-
alyzed that she could scarcely get about the house. She had
been long under the treatment of one of our oldest and best
physicians, who also believed her to have been an excpiisitely
hysterical girl. Since her marriage she made the tour of Europe,
spending a season in Italy and Switzerland, where she became
quite wrell. She could climb mountains, the long stairways of
palaces and towers, and even the pyramids. But she was no
more than home again, than she was as lame (i. e., as para-
lyzed) as at her worst. This condition was not now intermit-