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HINTS FOR HEALTH.

A STYE IN THE EYE

of

Is best managed by bathing the eye frequently with warm water, or with warm poppy-water, if very painful. When it bursts, and the "scab" falls off, an ointment, composed of one part citron ointment, and four of spermaceti ointment, well rubbed and mixed together with a bone paper-knife, should be smeared along the edge of the eye-lid every night at going to bed. grain or two of calomel, with five or eight grains of rhubarb, according to the patient's age, should be taken twice a week. By these means the complaint may be checked or got rid of; but it is often very tiresome and unmanageable.

THE STOMACH.

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There is not there ought not to be any conscious excitement or sensation induced in the stomach by the presence of food or drink, in a state of health; so true is the observation, that to feel that we have a stomach is no good sign."

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TIME FOR SLEEP.

When the Jesuits settled the plan of education in the College of Clermont, the physicians were consulted on the portion of time which the students should be allowed for sleep. They declared that five hours were sufficient, six an abundant allowance, and seven as much as a youthful constitution could bear without injury.-Butler's Reminiscences.

HINTS FOR YOUNG HOUSEWIVES.

The daily duties of the housewife, in cleaning, are many. The doors and windows are to be opened in the mornings, to air the rooms and to allow the dust to pass away when sweeping. The lower part of the chimney is to be swept down often, that the soot may not fall into the pot. The stove is to be cleaned, and the hearth swept, and cinders taken care of, that the fireside may look tidy and cheerful, and nothing be wasted. The room is to be swept, taking care that the dust is not brushed up roughly to fall down again on the furniture, and the articles of use and ornament, are to be dusted. The tables and chairs are to be scoured or rubbed. The table-cloth is to be white, smooth, clean, and neatly put on. The bed-room windows are to be opened, and the bed and bed-cloths exposed to the air. Tin and iron saucepans, and all other utensils of the same metals, are to be kept free from dirt and damp, or they will be destroyed by rust. Copper saucepans are to be kept clean or they may poison us. Floors are to swept and sanded; boared flours are to be scrubbed, and brick and stone flours washed, when they require it; but boards should not be wetted oftener than is necessary to keep them clean, for damp boards are prejudicial to health. Always remember that it is better to keep clean, than to make clean.

THE TEMPERATURE OF OUR WARDROBE.

The practice of keeping clothes in a cold room, and of putting on chilled garments, is very injudicious and dangerous. Dr. Kitchiner remarks: "A great coat must be kept in a room where there is a fire; if it has been hung up in a cold damp hall, as it often is, it will contribute about as much to your calorification as if you wrapped a wet blanket about you."

COUNTER-IRRITANT.

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Consumption: its Causes, Symptoms,
and Rational Treatment.
Aneurism.

Asthma.
Diseases of Artisans.
Diseases of the Chest.
Inflammation of the Lungs.
Water on the Chest.

Influence of the Passions on Health.
Influence of the Imagination on the
Health.

Melancholy: its various forms.
The Nervous System.

Properties, Doses, and Preparation

of the Medicaments ordered in the Pharmacopoeia.

Climate.

Wholesome and Economic Dietary. Family Prescriptions.

Medical Precepts.

A Complete Exposure of Advertising Quacks of the Present Day. Notices to Correspondents,-among which will be found some most useful information for the conservation of Health and the removal of Dis&c

ease.

contains:

'&c. &c.

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Preface to Second Volume: "The FAMILY PHYSICIAN has now made his fifty-second visit. During the last year he has ascended the tapestried halls of wealth, he has entered the dimity-clad chamber of the well-doing, he has descended the pit of the miner. In each, by all, he has been received as a Family Friend, as well as a Family Physician. For the courtesy of his reception, and the confidence reposed in him, he begs to offer his grateful thanks. In closing a year of toil, anxiety, and pleasure, he ventures to hope he has done much good, and, he prays, but little evil, in the hints and advice he has offered to thousands who have sought his counsel. The same industry, the same caution, the same integrity of purpose that has raised his periodical to the proud position of being in fact, as well as in title, THE PEOPLE'S MEDICAL JOURNAL, shall ever guide his exertions, and direct his humble ability."

"Dr. Yeoman's large practical experience renders him eminently capable We most heartily recommend this of conducting a journal of this nature. work, as its price places it within the reach of all, while the matter of which it is constituted, touching on organic and other diseases incidental to humanity, is of the most invaluable kind."-Weekly Dispatch, June 23, 1850. "There was a want of such a publication, conducted by a sound practitioner-the desideratum is now supplied."-Cambridge Advertiser.

"Dr. Yeoman is doing good service in exposing those pernicious quack systems, which, ostentatiously paraded before the general eye, have allured and deceived too many of the children of suffering humanity."—Waterford Mail.

"In this age, when quackery is rampant, and every medical work must be closely and narrowly scrutinised ere an opionion can be pronounced upon it; it is lighly refreshing to meet with one that puts forth no pretensions, and yet is deserving of the very highest commendation. Such is the nature of the periodical now under notice. Dr. Yeoman is a gentleman who has acquired an honourable name in his profession; and, apart from his immediate practice, he is devoting himself to the inculcation of what may be termed 'popular medical knowledge' amongst the masses."Weekly Times.

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Mr. McDiarmid recommends a solution of ten grains of tartaremetic in an ounce of distilled water as a counter-irritant appli-Belts, Back-boards, Dumb-bells, Wooden Legs, Crutches, Supports for Weakcation, to be used in lieu of the tartar-emetic ointment, the use of which is disagreeable to many persons.

ened Legs, and all Instruments and Apparatus for the Cure of Deformities. Mrs. Smith attends on Ladies.

TO CORRESPONDENTS.

NOTICE.-All communications for the Editor must be addressed, pre-paid, to his house, No. 25, LLOYD-SQUARE.

THE EDITOR is at home every day until One o'clock; and on the evenings of Monday, Wednesday, and Friday, from Seven till Nine.

VOLS. I. and II. are now ready, price 4s. each, bound in strong and elegant

cloth, gilt lettered. CASES for binding Vols. I. and II. may be obtained of all news-agents, price 1s. 3d. each, in strong and elegant cloth, gilt lettered, BACK NUMBERS.-There should not be any difficulty in procuring back numbers to complete volumes, or numbers containing certain articles. They are always on sale by our publisher, and any delay that arises must be consequent on some forgetfulness on the part of the local bookseller or his town-agent.

MEDICAL GLOSSARY.-We postpone the publication of our DICTIONARY OF MEDICAL TERMS, as it has been suggested to us that it would be more useful if published, separately, as a small book, uniform with INDIGESTION, HEADACHE, &c. We shall be glad to receive the opi

nions and wishes of our subscribers.

W. W. (King's Road, Chelsea).-Read the articles on ANEURISM in Nos. 50 and 52.

T. M. (Brick Lane).-Yes.

"WHAT'S IN A NAME?"-We cannot, at the moment, give you the derivation of the word coffin. There is a quack who has prematurely filled many, alas! how many! but as he is of mushroom growth it cannot obtain its startling name from him.

J.HAMAN (Yorkshire).-Dr. Yeoman never was connected with the periodical you mention. You are perfectly mistaken. The remaining part of your letter is under consideration.

ANN SMITH.-We should not advise you to have "the lumps" cut out, unless they give you more pain and inconvenience than you at pre

sent suffer.

M. S.-We must see you.

W. T. (Shooter's Hill Road).—We cannot advise any decided treatment without seeing you.

WM. REID (Glasgow).-We never advise guided only by the "I think" of a patient.

G. WILKINSON (York).-Our "kindness" does not extend to the gratuitous treatment of disorders arising from vice, folly, or indiscretion. JOHN SPENCE (Walmgate Bar, York).-We have an idea that Mr. Spence is identical with Mr. Wilkinson. We shall be glad to be undeceived. FANNY S---Call in Lloyd Square; or write more definitely. Never "cross" your letters.

TOM TOMKINS.-To four ounces of any common pomatum, or bear's grease, add four drachms of tinctura lytte; brush in a portion well, night and morning.

D. (Loughborough Road, Brixton).-You cannot do better than send your numbers to Mr. Myhill, No. 35, Little Charlotte Street, Blackfriars Road-he binds for us.

M. MORRISON.-We cannot spare you the space your case demands, in this column.

SAMUEL JONES (Ashton-under-Lyne).-We do not understand the former part of your letter. We cannot make the alteration in the size of the Journal that you suggest.

INQUIRER (Strand).-It will not be necessary to "lay up." See answer to G. WILKINSON (York), in this number. SAMUEL BOWERS.-We have received letters from at least one hundred correspondents who, like you, have, we fear too partially, said, "a portrait of the Editor would meet with a favourable reception." We appreciate the compliment, but you and other unknown friends must be content with seeing us through the medium of type,-not of the graver. Our modesty will not allow us to give our countenance to your proposal.

H. S. (Royton). We are gratified by your confidence, but cannot undertake the treatment of your case as a gratuitous patient. HENRY (Bryanstone Square).-A guinea. It is a most ungracious, at the same time a necessary task, to speak of fees. Remember our printer, our butcher, our baker, our servants, the tax-gatherer. How can we pay them if you do not pay us?

A COMPOSITOR.-What can we say of the diseases peculiar to your occupation, more than that your eyesight sometimes fails; that you are addicted to gin, and know not what punctuality means? Of course there are exceptions to these complaints, and the three infirmities may not be centered in one man. We wish we could cure you all of want of punctuality.

JAMES B-T (Shrewsbury).-All our publications that are forwarded by post are enclosed in envelopes.

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REGINALD DALTON (Manchester).-See the DISEASES OF ERROR. WAREHOUSEMAN (Friday Street).-It is impossible we can say whether the disease be bronchitis or consumption, without we have an opportunity of examining your chest.

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WATCHMAKER (Northampton Square).-We are much pleased that you approve of our last article on the DISEASES OF ARTISANS in reference to the trades in which you are interested. If you will send to Lloyd Square, your messenger shall receive a dozen copies of the number, W. M.First: Yes; three months. Second: Not absolutely necessary. agreeable to your request. ROBERT HARRISON (Sloane Street).—Take a four-grain “Plummer's Pill.” Third: Five guineas. (Pil. Hyd. chlorid. comp.) every night for seven nights.

W.

in No. 3.

ELIZA. Read the first article on the DISEASES OF WOMEN AND Children, D.

R. P. (Hayes, Middlesex).-Do not complain of the distance, when patients daily arrive at our house, for the purpose of consulting the Editor, from the Clyde, the Tyne, the Mersey, and the Severn. Yours is a case that cannot be comprehended without the physician examines you. You say your complaint is bronchitis it may be so; but it may be consumption, or diseased heart, or indigestion. ANN (a housemaid). Take five drops of the muriated tincture of iron, and ten drops of the tincture of hyosciamus, in water, twice a day. S. Y. S. (Newcastle-on-Tyne).-A teaspoonful is equal to a drachm; a table-spoonful to half an ounce; a wine-glassful to two ounces; and a teacupful to three ounces. A drop is generally considered to weigh a grain; so that sixty drops are reckoned equal to a drachm or teaspoonful.

W.

S.

GILES (Ledbury).-Quinine wine may be made by adding two grains of the di-sulphate of quina to a bottle of Maderia. Some prefer orange L. P. Will you refer to our answer to THOMAS HIGGINBOTHAM in wine. Half a wine-glassful is about the quantity for a dose.

No. 13?

OLIVE BRANCH (Dublin) -The pulsations of the heart can be more distinctly felt and heard on the left side. See DISEASES OF THE HEART, in Nos. 15 to 26, inclusive.

W. LOWNDES (Brighton).-Depend on it cheerfulness is the best promoter of health; fretfulness and ill-humour its destroyer. Few very aged persons will be found who have not preserved an evenness of temper with a gaiety and cheerfulness of heart. Health and cheerfulness mutually beget each other; with this difference, that we seldom meet with a great degree of health which is not attended with a certain cheerfulness, but very often we see cheerfulness in those who possess no great degree of health.

RUMOURED DEATH FROM "DR." COFFIN'S PILLS.-A young woman, named Eliza Gould, aged twenty-one, daughter of William Gould, tailor, Burton Lane, Sheffield, died suddenly, says The Sheffield Times, after taking some pills, supplied to her by Mr. William Fox, of Barkerpool, agent to "Dr." Coffin. The case is under investigation before T. Badger, Esq., coroner. We hope to be able to give a satisfactory account of the verdict of the jury in our next. In the mean time we shall be glad to receive authentic communications from our Sheffield correspondents on the case.

BELPHOGOR.-See INDIGESTION, page 42, then write again. JOSEPH BRADLEY (Greenwich).—If you will call on Sunday morning, we will give you our candid opinion on the case. ROBERT INGLIS (Hull).-The man is a notorious quack; all the advertising firms of dentists who itinerate from one town to another are ignorant Jews.

PHILLIS.-Your curiosity will be satisfied in an early article on the DisEASES OF WOMEN AND CHildren.

J. S. (Granton).—We do not pay attention to such cases in the Journal. FORFAR.-Take ten drops of liquor potassæ in water, twice a day. A MECHANIC (Birmingham).-Take two grains of calomel and four grains of the compound extract of colocynth, made into two pills, every other night. MARIANNA.-You will find a prescription for CHILBLAINS in Nos. 42 & 48. C. C.-One guinea. T. R. S. (Islington).-Your letter is incomplete in detail. THE PUBLIC HEALTH.-Deaths 1,063, being a considerable increase on the last weekly returns. The excess of last week over the previous one is due in a great part to the aggravated fatality in inflammation of the lungs, and likewise in bronchitis, among young persons. The aggregate of deaths caused by diseases of the respiratory organs, comprising all ages, was last week 253. Small-pox destroyed 20 children, and 5 persons above 15 years. The births of 848 boys and 756 girls, in all 1,604 children, were registered in the week.

London: Printed by CHARLES ADAMS, at his Printing Office, 8 St. James's Walk, Clerte

well, for the proprietor, T. H. YEOMAN, Lloyd Square; and published by GORE! VICKERS, 28 and 29 Holywell Street, in the parish of St. Clement Danes, Strand.

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THE Nervous System is destined to regulate the functions of the animal economy, to receive impressions of external objects, and to transmit them to the understanding. This system consists of the brain, the medulla oblongata, the spinal marrow, the nerves, and the ganglia.

Having already, in No. 33, 35, & 36, described, in general terms, the anatomy and physiology of the brain and nervous system, we beg to refer our readers to those articles, which may be read in connexion with the present paper.

Under the term Brain is comprehended three parts distinct from each other, although united in some points. These parts are the cerebrum (a, b, k, fig xv.), the cerebellum (f, f, fig. xv.), and the medulla oblongata (h. fig. xv.).

In each of these principal divisions we find also other parts, easily distinguishable, and which have a kind of insulated existence, so that nothing

BY THE EDITOR.

No. IX. THE BRAIN-THE NERVOUS SYSTEM.

PRICE ONE PENNY.

the due performance of the functions of the brain we should neither possess external sensation, nor be competent to execute any voluntary movement; consequently it has been said by that great philosopher, Cuvier, with much truth, that the nervous system is, in fact, all the animal;" the other systems being vegetative, automatic, and existing only to nourish and defend it.

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The CEREBRUM is the largest portion of the brain, and occupies the whole upper cavity of the skull. In the fore part it rests upon the arches of the orbits, that is the roof of the "socket of the eye;" in the centre it rests upon the middle fossæ, or indentations, of the base of the skull ; and posteriorly, upon a band of the dura mater, named the tentorium cerebelli,* which separates the cerebrum from the cerebellum.

The upper surface of the cerebrum is divided into two parts, named he

is more complicated, nothing more THE BASE OF THE BRAIN, AND THE ORIGIN OF THE CEREBRAL NERVES. mispheres,-the division is distinctly

difficult in anatomy, than the study of the organisation of the brain. In proportion, however, to the importance of the functions of this organ, anatomists and physicians have in all ages applied themselves to dissect it. From the boundless labour which has been bestowed on this part of the animal economy, great accuracy of anatomical detail has been acquired, and a profusion of names given to its various parts and processes; but it must be candidly confessed our knowledge is still very imperfect, and that

FIGURE XV.

a. The anterior lobes of the brain.

b. The middle lobes.

c. The corpora albicantia.

d. The pons varolii.

e. The superior vermiform process.

f. The cerebellum.

g. The inferior vermiform process.

h. The medulla oblongata.

1. The corpora pyramidalia of the medulla oblongata.
k. The posterior lobes.

[The figures refer to the origin of the nerves.]
1.1. The olfactory nerves, or first pair.
2.2. The optic nerve, or second pair.

3. The common motor nerve, or third pair.

4. The patheticus, or fourth pair.

5. The trigeminus, or fifth pair.

6. The abducens, or external motor nerve.

7. The facial nerves.

8. The auditory nerves.

9. The glosso-pharyngeal nerve. 10. The hypoglossal nerve.

we yet require sound physiological views of its operations. That it is intimately connected with sensation, motion, digestion, in short with every function of the body, by means of its nervous connexions, we are sure of; but how these results are effected, and from what special part of the cerebral mass each derives its influence, we know not, as of an incontrovertible fact. Without

K

marked in the drawing-which are separated from each other by another process of the dura mater, termed the falx cerebri. The surface of the cerebrum, both above and below, is intersected by deep fissures and eminences, which produce numerous turnings and windings, termed convolutions; these take a variety of directions, and differ in extent in different parts of the brain, being smaller at the anterior part, larger at the back part, and largest in the middle, where each is about half an inch in breadth.

The lower surface of the brain is divided into three regions, named lobes; the anterior (a, fig. xv.), the middle (b, fig. xv.), and the posterior (k, fig. xv.).

On separating the two hemispheres of the brain, the corpus * See page 50, Vol. II.

callosum, or commissura magna, may be seen without making any incision; it is the centre of communication between the two hemispheres, and consists of a large portion of medullary matter, which, by transverse fibres, incorporates and unites the two lateral divisions of the cerebrum. When the substance of the brain is sliced down on a level with the corpus callosum, the appearance which is then exhibited is called the centrum ovale, which presents a large centre of white substance, surrounded by a thin stratum of grey-the cortical substance.*

In the substance of the brain we find four cavities, termed ventricles-some anatomists add fifth. In their natural size, these cavities are exceedingly small, yet when, by the operation of disease, they become distended, they enlarge to an enormous size, and being filled with an aqueous fluid, they exhibit that formidable malady, commonly known as water in the head," or hydrocephalus.

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There are two lateral ventricles, one situated in the central part of each hemisphere, immediately under the centrum ovale. They are of an irregular form, having three winding prolongations, termed cornua, or horns. The anterior horns are separated from each other by a partition, called the septum lucidum; the posterior cornua are at a considerable distance from each other, but as they curve inwardly, and dip into the middle lobes of the brain, they approach nearer at their pointed extremities.

The parts and processes discovered in the lateral ventricles are many, important, and intricate; a knowledge of these, to the anatomist is imperative, and the search for this knowledge by dissection, is one of the most beautiful studies he can engage in; but to the general medical reader any account we can give of them must be imperfect, and may tend to confuse rather than instruct. The third ventricle, is a deep fissure, situated between the inner ends of the optic thalami, from which the optic nerves arise (2. fig. xv.).

The CEREBELLUM, or little Brain, (f. fig. xv.), is situated in two cavities in the base of the occipital bones, immediately at the back part of the head, and is in size about one-sixth part of the brain, properly so called, and has been compared to two depressed spheroids, placed beside each other on a horizontal plane. The upper surface presents on its fore and middle part, an elongated eminence, termed, from its resemblance to a worm, the superior vermiform process (e, fig. xv.), which is formed by the reciprocal crossing of the lamina, of which the two lobes of this organ are composed. The lower surface presents a deep depression in the middle line, named the valley, in which is lodged the commencement of the spinal marrow; at the back part it is divided into two, by a large eminence, called the inferior vermiform process (g, fig. xv.) The inferior part of the cerebellum, as displayed in the engraving, presents a convex surface, on which we may distinguish four lobules, which describe concen

tric arches.

The

Internally the substance of the cerebellum is composed of cineritious and medullary matter, as in the cerebrum. cineritious, however, bears a much greater proportion in the former than in the latter. On making a vertical section of this part of the brain it presents a beautiful tree-like appearance, named the arbor vitæ, formed by the peculiar arrangement of the white and

grey matter.

The fourth ventricle is in the cerebellum.

The PONS VAROLII (d, fig. xv.) forms as it were the centre of the brain, and of which it weighs only the sixtieth part. It is placed between the cerebrum and cerebellum, and is intimately

united to them by prolongations from it.

to the great opening of the occipital bone. Upon its surface are two small eminences, which run longitudinally, and contiguous to each other, termed the corpora pyramidalia, (i, fig. xv.); the other two eminences which run in a like direction are called, from their supposed resemblance to an olive, the corpora olivaria.

The MEDULLA SPINALIS, or spinal marrow, is a long irregularly cylindrical cord, which extends from the medulla oblon gata to the second lumbar vertebra, in the loins; its weight is about one-twentieth part of the brain.

If any of our readers are anxious to follow the above description in a practical examination, we would advise them to procure a fresh sheep's brain,-first carefully remove the delicate filmy membranes by which it is enveloped, and which dip down between the convolutions; then trace the division of the hemispheres, and the separation of the anterior, middle, and posterior lobes; on the under surface, notice the olfactory nerves, the optic nerves, the pons varolii, and the commencement of the spinal marrow, all these parts may be easily recognised having our engraving as a guide. Afterwards place the brain on its base, and with a sharp and broad knife slice away the brain until the whole surface is level with the corpus callosum; examine this carefully and observe the raphæ, or longitudinal elevated lines, and the transverse striæ, or streaks, or groves, which are over the roof of the lateral ventricle. Take off, with great care, another slice of the brain, and you then expose the interior of the lateral ventricles.

(To be continued.)

ON THE DECAY OF THE MEMORY.

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IN persons of sound mind, as well as in maniacs, the memory is the first power which decays; and there is something remarkable in the manner of its decline. The transactions of the latter part of life are feebly recollected, whilst the scenes of youth and of manhood remain more strongly impressed. When I have listened to the conversation of old incurable patients, the topic has rally turned upon the transactions of early days; and on the cir cumstances of that period of life they have frequently spoken with tolerable correctness. In many cases, where the mind has been injured by intemperance, the same withering of the recol lection may be observed. It may perhaps arise from the mind at an early period of life being most susceptible and retentive of impressions, and from a greater disposition to be pleased with the objects which are presented; whereas the cold caution and fastidiousness with which age surveys the prospects of life, joined to the dulness of the senses, and the slight curiosity which prevails, will in some degree explain the difficulty of recalling the history of later transactions.-Haslam.

[It is often a remarkable feature of delirium in advanced age, that the images of persons long since dead, and the recollection of whom had been for years prior to the attack completely blotted from the mind, are called up with a vividness scarcely short e the reality. We know an instance where a patient thus recalled the features, dress, and language of a friend, whom he had lasi seen in India forty years before, and of whom, for years previ ously to the attack, he had lost all recollection.]-Ed. Med. Gaz

RETENTION OF URINE.

LUTHER is said to have died of a retention of urine in a coach, through a modest regard of the company, as did Dr. Tryon ef the same forbearance in a passage boat, the bladder being s The MEDULLA OBLONGATA, (h, fig. xv.), is the enlarged por-filled as to be unable to relieve itself when he came on shore. tion of the spinal marrow, which extends from the pons varolii The celebrated Marquis of Tullibardine, it is said, took also the same method in the Tower to escape a public death.

* See No. 33.

NERVOUSNESS.

BY THE EDITOR.
No. II.

CASE [60].-I am very nervous, and am afraid beyond the hope of cure, as it was born with me. As early as I can recollect, I have had a shaking hand, and have always been very timid. I am about thirty; have a wish to get married, but I am afraid of the ills of life. I am afraid I have chosen a wrong trade. I am a cabinet-maker. Last week I had occasion to "pull out," being sent to a strange shop where "sweating" is the order of the day. I kept up well; but not having bottom, I am this week in a sort of miserable condition, both of body and mind. I am naturally cheerful, but not boisterous, but very easily damped an unkind word, a blunder, &c., would make me quite down-hearted; and if an employer or foreman looks on while I am working, it puts me all of a shake.

CASE [321] (a female).-I have been for the last twelve months afflicted with a nervous complaint, and unable to work for my living: I write to tell you the state of my feelings. I am twenty-four years old; I had nothing to bring it on, to my know. ledge; I have a dreadful fluttering at the heart, and always feel as if I was fainting. I feel frightened to death at seeing anyone; I dare not go out of the house. Sir, I am sorry to trouble you, but the misery I live in makes me so wretched, I don't know what to do. I am a long way from my friends and home, and God has, of his mercy, laid this trouble upom me. I ought to bear it without murmuring; but to see the beautiful days, and all look happy around; it is melancholy indeed. always think I am going to die; let me go where I will, the same thought all the time keeps haunting me. If I sit alone a few moments, I think I shall die before any one gets near me. I have heard of people labouring under the delusion of dying. Do you think, sir, any one has ever recovered from such a complaint? People laugh at me, and think I won't do anything; but I don't feel to have any strength.

I

CASE [781].-I am a stocking-maker; my age is fifty; am extremely nervous; the bark of a dog, the rustle of a leaf, will cause a sensation I cannot describe; am often oppressed with such a lowness that seems to come from the middle of the belly, not a pain, but something so oppressive; constantly before my eyes will seem to float a something, as if it were the corners of a white handkerchief blown past by the wind: and, when I lie down in bed such a beating in my head, even as though some one in the next house was striking with a large hammer upon the floor. I have, at times, for some years, been troubled with a pain in my left side, and when in bed, if a hand be placed upon me, I cannot bear it. This pain is not a constant one, and not very bad. The sound in my head is the same when I walk rather quick up a hill.

rangement; if it is likely I should get stouter, &c. &c. Appetite is at times fickler, though generally tolerably good, when I can have just what diet I choose; but my flesh feels too soft and delicate, and sometimes dry and feverish; other times hands sweaty and hot: before I begin to particularise, I should have said I am of the sanguine-nervous temperament, at least I think so; reflective to excess, yellow hair, extremely spare habit, bowels generally confined, but eat brown bread; I have been treated generally for dyspepsia and debility; at times I seem very well and to gain flesh, afterwards I seem to lose it again without any apparent cause, except it be anxiety and care of business, with continual fear of the future, and restless desire to get on in trade, I am convinced a better state of body ought to be enjoyed to be called good full health. I am perhaps what might be called a delicate man; but cannot those who are physically delicate be also healthy? Nothing seems to stimulate and develope my system like unto sea-bathing; but my locality and circumstances will not allow me to avail myself of this oftener than once a year; what I want is firmer and more fleshy muscle, and not so much variation in spirits, which are apt to verge to extremes of hilarity or depression. Perhaps all I need is strength of stomach and increased activity in the hepatic functions, which might give tone to the nervous system. I am much opposed to drugging, knowing that strong aperients are debilitating to constitutions analogous to my own, except of a very strengthening tendency also to the whole system. I always seem worse on a Monday morning, although I have had a day of rest, and less mental excitement of a business kind than usual; this seems an anomaly to me. I leave my case for your kind consideration, as to what you suppose is capable of being rectified or not; since although I have read extensively of physiological works, medicine is dangerous in the hands of one too eager to try advertised remedies, and to become a zealous physic-taker.

CASE [22].-I am twenty-nine years of age, very weak, thin and pale-looking, and am most wretchedly nervous and hypochondriacal; I am troubled with singing in the ears, objects floating continually before my eyes; occasionally I start from my sleep, and for a moment or two I am lost, and do not know where I am; one night in going into a room in total darkness, I was suddenly taken in such a strange manner that all my faculties seemed lost, and I believe if a light had not suddenly appeared, I should have fallen to the ground insensible. Added to this, I have had a pain at the heart, returning at intervals, sometimes a pricking pain, and at others a dull sort of a sensation: the pain is nothing to inconvenience me, yet such is the morbid condition of my mind that the fear of my heart being diseased has taken fast hold of me, and the dread of sudden death is ever before me. Yet I dare say it merely arises from internal weakness; indeed, I believe it is not always at the heart, but I fancy moves about. My habits ars sedentary, scarcely taking any exercise; my digestion is at all times pretty good. For the cause of all this I need not conceal from you I am sorry to weary you with this confused note; nothing but the state I am in should induce me to do so. If you give me a few words of advice, &c. &c.

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CASE [581].-I am a bookbinder by trade, and clerk of a chapel of ease; and during the last twelve or eighteen months have become nervous and debilitated to a considerable degree; fatigued by a very little exertion compared to what I could formerly do, CASE [685]-I am an enamel painter by trade, and was all and yet my bodily health is pretty good; I feel constantly heated last summer studying painting, both night and morning: one and feverish, my hands very dry, and I become excited so as to night last summer I went to bed as usual, and I felt rather nerbe almost unable to get through my duties; consequently low-vous and timid. When I laid my head down there was such a spirited. I am twenty-nine years of age; I have been accustomed strange sensation came over me, with violent palpitations of the to eat and drink pretty freely, but [am] considered a moderate heart. I remained for a considerable time in a low nervous way, man. I will also add, I feel a great deficiency of energy. From I felt rather better for a while, so I sat down again to draw one having to support a small family, I have been compelled to keep closely at work.

CASE [129].-Can you tell me whether the following feelings and conditions are constitutional or symtomatic of functional de

night; then a general weakness, shortness of breath, palpitations, and a singing noise in my ears, came on, cold feet and hands, even my face is cold; but sometimes, if I happen to walk quick, my face will burn like fire. My appetite is extremely good;

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