Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc . Quite often shewill seize some one standing near. Efforts at for-cible restraint will markedly increase the violenceof the movements. As a rule, there is no disturbanceof the circulation or respiration. The pulse is notincreased more than the active exertion would war-rant, and if there is no great amount of exertionit remains quite normal. The respiration is normal,except in certain cases of hysterical rapid respira-tion. In
Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc . Quite often shewill seize some one standing near. Efforts at for-cible restraint will markedly increase the violenceof the movements. As a rule, there is no disturbanceof the circulation or respiration. The pulse is notincreased more than the active exertion would war-rant, and if there is no great amount of exertionit remains quite normal. The respiration is normal,except in certain cases of hysterical rapid respira-tion. In these cases respiration becomes very quickand shallow. The face is neither pale nor is a peculiar and rather characteristic quiverof the eyelids when the eyes are closed, and thissign is of considerable diagnostic value. The pupilsshow no constant or characteristic change. As hasbeen said, this minor attack may last from some min-utes only, to several hours, and at the close of the at-tack the patient may be a little depressed, or in somecases appear quite normal. There are no very distinctprodromes preceding the attack, which, as has been Plate. CONVULSIVE ATTACKS. 125 noted, can usually be traced to some distinct, thoughoften trivial, exciting cause. The symptoms of theminor attack vary greatly both in their form and in-tensity, which makes it all but impossible to give adescription that will apply to all cases. The grand attack, or hystero-epilepsy, as it hasbeen unfortunately termed, the form that has beenrendered classic by Charcots pen and Richers pen-cil, would seem to be of far less frequent occurrencein this country than in France, and the same maybesaid of England (Gowers). The grand attack inthis country occurs in persons who, as a rule, pre-sent stigmata in the interparoxysmal period. Thereare often slight prodromal symptoms for severaldays, such as nervousness, headache, malaise, andother indefinite symptoms. It would seem that, likethe minor attack
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