90 
REVIEW. 
“ In the same lecture Dr. Watson again observes, ‘The 
symptoms I have been enumerating belong to the nervous 
system, and indicate great derangement in the functions of 
animal life. In the other of the two forms to which all the 
various modifications of the attack may be reduced, the 
principal marks of disturbance are referable to some of the 
viscera. The patient experiences a sense of uneasiness in 
some parts of the abdomen, frequently towards the left flank. 
***** 
The abdomen becomes distended with wind ; loud rumblings 
and sudden eructations take place, and there is much palpi- 
tation of the heart. 
66 ‘After the paroxysms these patients commonly void a 
large quantity of limpid pale urine, looking almost like 
water, and this is sometimes expelled during the fit.’ 
“The account furnished by Dr. Copland, in his Medical 
Dictionary, article ‘ Hysteria/ of the convulsive * form of the 
disease is so clear and so closely allied in many respects to 
the cases which I furnish, that I shall also quote what he 
says with regard to this matter. 
“ ‘ When hysteria, 5 says the doctor, ‘ assumes a truly con- 
vulsive * form, the trunk of the body is writhed to and fro, and 
the limbs are variously agitated. 
* * * * 
Sometimes the trunk remains stiff, whilst the arms and 
limbs are tossed in every direction. The muscles of respira- 
tion participate in the struggle, and the breathing is effected 
slowly, laboriously or deeply and spasmodically, often with 
deep sobs and constriction in the situation of the diaphragm. 
During the struggle the patient sometimes bites her arms or 
hands, or even the bystanders. The abdominal muscles are 
tense or irregularly constricted ; the belly, especially about 
the naval, is often drawn inwards, and the sphincters are 
firmly constricted. The action of the heart is increased with 
the severity of the convulsions. In some cases, however, it 
is not much, if at all, accelerated ; in others, it is very irregular 
and unequal: and in all, the temperature is usually reduced , 
especially in the extremities , at the commencement of the attach . 
% * * * * 
Upon recovery from these states, the patient often ex- 
periences catchings , spasmodic contractions of the extremities , 
shudderings, or convulsions of short duration, accompanied 
by forced or irregular respiration? 
* These Italics are ours . — Ed. Vet. 
