the mystic element in medicine
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disappointments unless the public will give a larger measureof support to your efforts and those of the ladies and
gentlemen who give the fund such invaluable voluntaryassistance....... To those who know as I do the homeconditions of many of our humbler citizens in Central, East,and South London the possibility of any reduction in
the number of children who will have a chance of this
happy and health-giving fortnight in the country this
year can only be contemplated with dismay and profoundregret." Sir William Collins, who is chairman of the
education committee of the London County Council as
well as surgeon to two well-known charities, has had
exceptional opportunities for knowing the conditions underwhich the poor of London live and we trust that his
testimony as to the needs of some of London’s little oneswill have the effect of bringing to the coffers of the
Children’s Country Holidays Fund the money which is so
urgently needed. Subscriptions may be sent to the officesof the fund, 18, Buckingham-street, Strand, London, W.C.
PRIZE-GIVING AT ST. MARY’S HOSPITAL.
Dr. W. B. Cheadle presided over the distribution of prizesto the successful students of St. Mary’s Hospital MedicalSchool on June 29th. The ceremony was held in the Medical
School of St. Mary’s Hospital and the prizes were given awayby the Lord Chief Justice of England, Lord Alverstone,who, addressing himself to the students, observed that
in no profession more than the medical was it essential
to maintain the highest ideal of honour, and, more-
over, there was no profession which brought out more
the good qualities of a man. He particularly emphasised theimportance of concentrating the mind upon the particularcase presented for consideration and he reminded his hearersthat in the practice of medicine there was scope for
individual thought and independent research. Passing on tothe discussion of the use and abuse of athletic sports he gaveit as his opinion that sports ought not to be made the objectof life but should be viewed as means whereby a man’s life-work could be better done.
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THE MYSTIC ELEMENT IN MEDICINE.
Professor F. Dercum of Jefferson Medical College, Phila-
delphia, in an interesting address delivered in May last at thetwentieth anniversary of the foundation of the PhiladelphiaNeurological Society, dealt with the subject of mysticism inmedicine. Since time immemorial superstition and magichave played a r6le in the treatment of disease. 4000 years
ago the Egyptian healers subjected their patients to
mysterious " passes " and manipulations, after which the
patients were enveloped in the skins of sacred animals
and conveyed to holy places where the treatment mightbe completed. The practice of uttering words and phrasesin a hysterical delirium by healers supposed temporarilyto be possessed
" of a god or spirit is also of veryancient date. The priestesses of Delphi and of other
Greek temples did so in ancient times and the Shamansof Siberia and the priests of many savage and barbaroustribes still practise rites in which they pass into somnam-bulistic and hysterical states and give utterance to
words which are regarded by the people as inspired by thegod or spirit invoked, or do extraordinary deeds to cnre
disease. Thus in Siberia, says Professor Dercum, the priest,after his invocations, will " suck the part of the body of thepatient which aches the most and finally take out of hismouth either a thorn, an insect, a stone, or some other
object, which he then asserts to have been the cause of thepain." Rubbing and massage have been used for centuriesbut the ancients combined them with movements and passeswhich were believed to have a magic virtue. CæliusAurelianus prescribed friction by the hand for the cure of
pleurisy and gave instructions for the manipulation of theinsane and of epileptics. It is said that " when the manipu-lations were carried to excess the patients fell into a
[hypnotic] lethargic sleep." Agrippa in the sixteenth
century and the famous Paracelsus and van Helmontwere among the earlier advocates of the doctrine
of an animal magnetism. Magnets were used to heal
illnesses, the theory of animal magnetism and the heal-ing of the sick by the aid of magnets being constituentsof the popular belief of the Middle Ages. Metals were also
regarded by many as being possessed of mysterious virtuesin the treatment of disease, an old belief traceable throughPaul of Ægina and Galen to Aristotle. Lenoble in 1754 andHall in 1774 are said to have effected wonderful cures bymagnets, the theory of these operators being a specialdevelopment of the popular belief to the effect that the
heavenly spheres exercised a magnetic influence over humanbodies and that the correct use of magnets was the onlymeans of rectifying those ailments which arise from dis-turbance of the animal magnetism of the body. Many ofthese beliefs and practices, says Professor Dercum, were theprelude to the methods developed by Mesmer during thecentury following. While mesmerism was at its height threeschools of animal magnetism sprang up. The first, thatto which Mesmer himself belonged, asserted that the effectsobtained were due to physical agencies alone. Themeans employed were friction, touches, passes, and grasp-ing, the resulting phenomena being explained on the theoryof a magnetic fluid or ether passing from the magnetiser tohis subject or vice versd. The school of Barbarin maintainedthat faith was the principal factor required, in consequenceof which they were known as spiritualists. To their mindsall physical means were merely accessories. The third
school, that of the Marquis de Puysegur, occupied a middleposition, explaining the results obtained by physical or
psychical means as the case required. The adoptionof hypnosis and its scientific study by the schools of Parisand Nancy three decades ago are regarded by ProfessorDercum as the beginning of the scientific era, the work of
Charcot, Richer, Liebault, and Bernheim having gone far toexplain the nature (physiological process) of hypnotism andits relationship especially to the great neurosis hysteria.More than all others these two schools have succeeded, heconsiders, in placing the practice of hypnotism on a scientific
,
basis. The special development of metallo-therapy, how-
ever, Professor Dercum regards as having proved nothingbeyond the fact that " suggestion " plays the most importantpart and that the metals do not act by producing " emanat-ions " or other subtle effects comparable with invisibleradiations.
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THE EVOLUTION OF THE "REST" TREATMENT.
Dr. S. Weir Mitchell of Philadelphia has published inthe Journal of Servoits and Mental Disease for June
an interesting account of the mode in which he was
led to evolve the method of treatment of neurastheniaand other nervous disorders by rest. Very often itis found that discoveries made through accident proveto be of value and this, says Dr. Mitchell, was the
way his cliscovery was made. During the Civil Warbetween the North and South States " a great many cases ofwhat we called acute exhaustion fell into the hands of Dr,
M-, Dr. K--, and myself. These were men who, beingtired by much marching, gave out suddenly at the end of someunusual exertion and remained for weeks, perhaps months, ina pitiable state of what we should call to-day neurasthenia."In these cases occurring in the war the neurasthenia, says Dr.Mitchell, came on with strange abruptness. It was moremarked in intensity and also more certainly curable thanare most of the graver male cases of to-day." Complete