CASE XX.

M. L. a woman, aged thirty-eight, was admitted into the house, June 11,

1796. From the information of the people who had attended her, it

appeared, that she had been disordered six weeks, and that the disease

took place shortly after the death of her husband. At the first attack she

was violent, but she soon became more calm. She conceived that the

overseers of the parish, to which she belonged, meditated her destruction:

afterwards she supposed them deeply enamoured of her, and that they were

to decide their claims by a battle. During the time she continued in the

hospital she was perfectly quiet, although very much deranged. She fancied

that a young man, for whom she had formerly entertained a partiality, but

who had been dead some years, appeared frequently at her bed-side, in a

state of putrefaction, which left an abominable stench in her room. Soon

after she grew suspicious, and became apprehensive of evil intentions in

the people about her. She would frequently watch at her door, and, when

asked the reason, replied that she was fully aware of a design, which had

been formed, to put her secretly to death.--Under the influence of these

opinions she continued to her death, which took place on February 8, 1797,

in consequence of a violent rheumatic fever. She was opened twelve hours

after death. There were two opake spots on the tunica arachnoidea: the pia

mater was slightly inflamed: there was a general congestion of blood to

the whole contents of the cranium: the consistence of the brain did not

differ from what is found in a healthy state.

Observations on madness and melancholy · 第 31 / 64 题