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In more than half of the severe cases of hysteria, compulsion neuroses, etc., which I have treated by psychotherapy, I have succeeded in positively demonstrating that their fathers have gone through an attack of syphilis before marriage; they have either suffered from tabes or general paresis, or there was a definite history of lues.
The wounds heal well, but the victims of tabes are unfavourable subjects for operative interference, on account of their liability to intercurrent complications. When the limb is quite useless, amputation may be the best course. In cerebral lesions attended with hemiplegia, joint affections, characterised by evanescent pain, redness, and swelling, are occasionally met with.
It is called, in the language of physicians, tabes dorsalis, or dorsal consumption; because it is supposed to arise from the dorsal portion of the spinal marrow.
Diagnosis. Pain referred along the course of the sciatic nerve on one side, or, as is sometimes the case, on both sides, is a symptom of tumours of the uterus, the rectum, or the pelvic bones. It may result also from the pressure of an abscess or an aneurysm either inside the pelvis or in the buttock, and is sometimes associated with disease of the spinal medulla, such as tabes.
Such an air as I have described, should have no bad effect upon a moist, phlegmatic constitution, such as mine; and yet it must be owned, I have been visibly wasting since I came hither, though this decay I considered as the progress of the tabes which began in England. But the air of Nice has had a still more sensible effect upon Mr.
Many affections which art has to strive against might be easily shown to be vital to the well-being of society. Hydrocephalus, tabes mesenterica, and other similar maladies, are natural agencies which cut off the children of races that are sinking below the decent minimum which nature has established as the condition of viability, before they reach the age of reproduction.
In para-syphilitic lesions such as general paralysis and tabes a positive reaction is almost always present. In inherited syphilis the reaction is positive in every case. A positive reaction may be present in other diseases, for example, frambesia, trypanosomiasis, and leprosy.
It is but seventy years ago since Ricord, the great French syphilologist, following Bassereau, first taught the complete independence of syphilis both from gonorrhoea and soft chancre, at the same time expounding clearly the three stages, primary, secondary and tertiary, through which syphilitic manifestations tend to pass, while the full extent of tertiary syphilitic symptoms is scarcely yet grasped, and it is only to-day beginning to be generally realized that two of the most prevalent and serious diseases of the brain and nervous system general paralysis and tabes dorsalis or locomotor ataxia have their predominant though not sole and exclusive cause in the invasion of the syphilitic poison many years before.
Many affections which art has to strive against might be easily shown to be vital to the well-being of society. Hydrocephalus, tabes mesenterica, and other similar maladies, are natural agencies which cut off the children of races that are sinking below the decent minimum which nature has established as the condition of viability, before they reach the age of reproduction.
Cyprian, in a beautiful passage on envy, calls it 'the moth of the soul: but perhaps, even that passion is less gnawing, less a 'tabes pectoris, than ambition. You are surprised at my heat the fact is, I am enraged at thinking how much we forfeit, when we look up only, and trample unconsciously, in the blindness of our aspiration, on the affections which strew our path.
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