Fat and Blood: An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria
- Willms, Janice
- Date of entry: Mar-14-1999
- Last revised: Aug-21-2006
Shortly after the American Civil War, neurologist S. (Silas) Weir Mitchell became interested in a certain group of women, whom he describes as "of a class well known to every physician,--nervous women, who, as a rule, are thin and lack blood." Mitchell’s basic premise was that these women, largely between the ages of 20 and 30, have lost their vitality as a result of some form of prolonged strain--which has caused them to become thin, of insufficient blood, and unable to perform their regular duties.
In his long essay, essentially a compilation of case studies, he further characterizes these patients and outlines the treatment which he found to be unfailingly successful in returning them to normal activity. The treatment he utilized had the following essentials: seclusion and rest; massage; electric stimulation, a high-fat and high-calorie diet. His patients were not allowed to see their families, nor to read, write or otherwise strain themselves. The average duration of therapy was six weeks, usually carried out in an institution or private retreat.
Of interest is the single male who Mitchell felt met the criteria for his treatment plan. This patient, who had some (to the modern reader) lung findings suggestive of tuberculosis, allegedly was cured after three months of bed rest and frequent feedings.
J. B. Lippincott