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of several cases reported in the "British and Foreign Medical Review," January, 1847. A naval officer had suffered for some years from violent attacks of cramp in the stomach. He had tried almost all the remedies usually recommended for the relief of this troublesome affection. For a short time bismuth had been prescribed, with good results. The attacks came on about once in three weeks, or from that to a month, unless when any unusual exposure brought them on more frequently. Although the bismuth was continued in large doses, it soon lost its effect. Sedatives were given, but the relief afforded by these was only partial, while their effect on the general system was evidently very prejudicial. On one occasion, while suffering from the effect of some preparation of opium, given for the relief of these spasms, he was told that on the next attack he would be given a remedy which was generally believed to be most effective, but which was rarely used, owing to its dangerous qualities. Notwithstanding these, it should be tried, provided he gave his assent. Accordingly, on the next attack, a powder containing four grains of _ground biscuit_ was administered every seven minutes, while the greatest anxiety was expressed, within the patient's hearing, lest too much be given. The fourth dose caused an entire cessation of pain, whereas half-drachm doses of bismuth had never procured the same relief in less than three hours. Four times did the same kind of attack recur, and four times was it met by the same remedy, and with like success! Dr. Tuke remarks that the influence of the mind upon the body, which is ever powerful in health, is equally powerful in disease, and this influence is exceedingly beneficial in aiding the _vis medicatrix_, and opposing the _vis vitiatrix naturae_. He dwells upon the remarkable power exerted by the mind "upon any organ or tissue to which the attention is directed, to the exclusion of other ideas, the mind gradually passing into a state in which, at the desire of the operator, portions of the nervous system can be exalted in a remarkable degree, and others proportionately depressed; and thus the vascularity, innervation and function of an organ or tissue can be regulated and modified according to the locality and nature of the disorder. The psychical element in the various methods comprised under psycho-therapeutics, is greatly assisted by physical means, as gentle friction, pointing, passes, _et ce
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