NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
10
water and coloured red. Two drams of this mixture are usually
given every four hours until sleep has been induced, then one
dram often enough to maintain the desired state of somnolence.
Constipation must be guarded against and a daily enema must be
given. If the proper amount of the drug is given the patient
can be aroused, taken to the bathroom, fed, given another dose
of medicine, following which he promptly goes to sleep again.
The results obtained with this type of therapy in manic
and depressed patients are quite encouraging. The patients
awake almost refreshed and rested, with considerable gain
in weight and a completely new out-look of life. By this method
patients are made to sleep from 16 to 20 hours a day. The treat-
ment in the first instance can be continued for ten days and later
it may be extended up to a month. During the year under
review eight schizophrenic and Manic Depressive Psychosis type
patients were selected for this treatment. Our results so far
are encouraging and will be published in our next Annual
Report when the treatment is tried on a large number of cases.
The treatment is not free from danger and the complications
to be guarded against are :—
(1) Fever and Diarrhœa.
(2) Pneumonia.
(3) Cysto-pylo-nephritis.
When a complication occurs the drug must be stopped
at once and the patient may be treated according to the
symptoms.
(d) Treatment of Epilepsy by Dilantin Sodium.—The latest
reports on the treatment of epilepsy by Dilantin Sodium in
medical literatures were fascinating and I therefore, decided to
try this drug with my epileptic patients of which we have a large
number. This drug is reputed to be very efficacious in reducing
the frequency and severity of fits in epileptics although no claim
has been made for a complete cure of this fell disease by the drug.
Those who are in daily touch with such unfortunate patients can
only realise what it means to an epileptic when the frequency and
severity of his fits are reduced by a drug. Fight such patients
were selected for this treatment during the year under review and
Messrs. Parke Davies and Company, Limited, very kindly supplied
free of charge Kapseals Dilantin Sodium in sufficient quantity
for our experiment. Our results with this drug so far are
extremely encouraging and we shall publish our results in our
next report when we have tried this drug on a fair number of
patients.
11
(e) Electric Convulsion Therapy.—Recently mental patients
are given shock treatment by giving shocks to the brain by means
of an Electric Apparatus. This newer treatment was elaborated
in Italy and it is now used in some of the hospitals of England
and America. After studying the literature I placed an order
for the Apparatus with the manufacturers, but unfortunately
owing to War conditions the factory has temporarily stopped
manufacturing the Apparatus for export purposes. They have
however, promised that they will supply our demand as early as
possible when the circumstances permit. On receipt of this
Apparatus the patients will be given the benefit of this newer
electric treatment.
(f) Sulfosion Therapy.—This treatment was extensively
given to suitable patients and during the year under report
55 patients were treated and the results were as following :—
Recovered.
13
Improved.
15
Stationary.
27
Similarly 22 cases of skin diseases of the types mentioned
below were also given Sulphur injections and all of them were
cured except two.
Scabies .. .. ..
Eczema
..
..
..
Psoriasis .. .. ..
Cured.
19
1
..
Stationary.
..
1
1
(iv) Physiotherapy.—The following number of specimens
were examined in the hospital laboratory during the year under
report :—
Blood
..
..
..
..
Urine
..
..
..
..
Stool
..
..
..
..
Sputum
..
..
..
..
Other examinations
..
..
...
964
1,886
532
89
97
Besides 217 specimens of blood and 39 specimens of C. S. F.
were sent for W. R. Test and Lang's Colloidal Gold Test in the
Pathological Department of the Prince of Wales Medical College,
Patna, of which 35 of the former and 6 of the latter were positive
and these patients were given proper antisyphilitic treatment.
(v) Dentistry.—1,789 patients received dental treatment
during the year under report.
(vi) Operations.—11 major and 114 minor operations were
performed during the year under report.
12
(vii) Nasal Feeding.—During the year under report 1,718
Nasal feeds were given to those patients who persistently refused
to eat or drink.
(viii) Diversional Therapy (Games and Amusement).—
(a) Foot-ball.—10 foot-ball matches were played, in the local
League Shield competitions and friendly matches, by the
hospital team during the year under report of which won 2 and
lost 8.
(b) Hockey.—7 Hockey matches were also played of which
won 2, draw 1 and lost 4.
Besides some of the patients daily play tennis, badminton,
basket balls, coits and various other outdoor games.
Every evening, except on Cinema nights nearly 200 patients
assemble daily in the Amusement Halls of both the sections
and amuse themselves with various indoor games and music, and
those who are literate and are fond of reading, are provided with
daily newspapers, Weeklies and Magazines, etc.
(c) Special entertainments.—The following is a list of special
entertainments given to the patients during the year under
report:—
1. The Annual Hospital Sports.
2. Christmas Tree.
3. Dancing performance by Professor Ismail and Party.
4. Theatrical performance by the students of the Prince
of Wales Medical College, Patna and Indian
Mental Hospital staff (combined)
5. Magic performance by Professor Manjhu.
6. Magic performance by Professor P. C. Sorcar of
International fame.
7. Theatrical performance by the girls of the St,
Margaret's School, Ranchi.
8. Theatrical performances by the Bengali children of
Kanke.
9. Theatrical performance by the Swatantra Bharat Club,
Ranchi.
10. Theatrical performance by staff.
(d) Cinema.—20 silent and 4 Talkie shows were given
during the year under report.
13
I am happy to be able to record that the Talkie Machine
which was sanctioned in the previous year was installed during
the year under report and has become a great source of enjoy-
ment to the patients. Weekly shows are given and the patients
look forward with great pleasure for the shows. Cinema
serves not only as a source of amusement to patients but it is
a therapy in itself and acts as a tonic to rehabilitation of
patients.
(e) The hospital Band continued to entertain the patients
with music throughout the year under report, in both the
Sections of the hospital.
(f) Paroles and Motor drives.—As in the previous years
many patients of both sexes were granted local parole with or
without attendants and batches of patients were sent out for
daily motor drives to Ranchi and the dependable patients were
allowed to do their own shopping in the town.
(g) Annual Picnics.—As in the past, in the month of
March 250 male and 100 female patients were taken out to a
neighbouring river side garden for a whole day picnic. As usual
they were treated with a sumptuous lunch and tea. The patients
amused themselves with various indoor and outdoor games and
the hospital Band also entertained them and they thoroughly
enjoyed the picnic.
(h) Religious Therapy.—Kirtans and Bhajans for the
Hindus, Milad Sharif for the Muhammadans and Divine
Services for the Christians, including religious discourses and
songs were regularly held during the year under report. Besides,
the patients were allowed to fast on religious grounds.
I express my best thanks to the Pandit and Maulavi Saheb
for giving religious therapy to my patients on a very nominal
honorarium and to all the Christian Padris for giving similar
services without any honorarium. During Puja festival batches
of patients were sent to visit the local celebrations held outside
the hospital and Id prayers were held inside the hospital.
29. Feasts.—As in the previous years special feasts were
given to the patients during special religious festive occasions,
such as Pujahs, Holi, Id and Christmas.
30. Libraries.—(1) There are plenty of books for the Library
of patients. A few more suitable books were added during the
year under report.
14
The following newspapers and monthly magazines were
continued to be supplied to the hospital free of cost and my best
thanks are due to their respective proprietors :—
1. Statesman.
2. Amrita Bazar Patrika.
3. Advance.
4. Star of India.
5. Searchlight.
6. Basumati.
7. Biswamitra.
8. Sentinal.
9. Illustrated Times of India.
10. Orient Illustrated Weekly.
11. Probasi.
12. Bharatbarsha.
(2) The Medical Library was also replenished by a few new
books and the usual supply of medical and mental journals were
continued.
Both the patients and the staff made a great use of their
respective Libraries.
31. Hospital Garden.—The garden is the greatest Occupa-
tional Therapy Department we possess and its value should not
only be considered in terms of mere manual labour and produc-
tion but its prime object is the physical and mental uplift of the
patients.
The average number of patients employed daily in the
hospital flower and Horticultural gardens during the year under
report was 500. As in the past, both the gardens were run
entirely with patient's labour.
A glance at the list of garden produce given in the report
will convince even the most pessimistic reader about the satisfac-
tory state of our garden, and the versatile Garden Manager,
his staff and
the patients who helped to make this
garden a great success deserve my very best thanks. Practically
the patients grow everything and consume everything
as very little of the garden produce is sold to the public or
the staff.
A very regrettable incident happened in the year under
report in March 1939—our Poultry Farm which was started
by me during 1935 and was developed into a big farm by 1939,
had a severe set-back by the sudden outbreak of Cholera among
15
our fowls and in spite of our care and best advice from experts
we lost all our best egg-layers—the beautiful leghorns which
were the pride of the patients and staff and this incident broke
our heart. The Poultry Farm supplied—23,284. eggs and 327
fowls to the hospital during its short life of three years.
In the cold weather of 1939 another attempt was made to
start the farm again with a few local fowls after disinfecting
all our poultry houses as advised by the local experts, but as
ill-luck would have it the birds were again attacked with Cholera
and they all died. We are now advised by experts to wait for
at least a year before another attempt is made in this
direction.
Another depressing incident which took place during the
year under report was in connection with our papaya plantation.
We had over 5,000 papaya trees in our garden and they were
a source of great supply of fruits to our patients. Our papayas
were very famous throughout the province, so much so, that
the seeds were in demand not only from the province but also
from all over India. Our plantation was affected by a certain
disease called " curlyleaf " disease by experts.
We consulted
the provincial as well as the Government of India experts on
this disease and the only advice that they could give was to cut
down the trees and replant them after a certain period. To our
great dismay we now find that the new plantation is also
affected by this fell disease and there seems so far no remedy.
I am also informed that other plantations in the Ranchi district
are also affected by this disease and it is said that the Zinnia
flowers are also affected with this disease every 4th or 5th year
in Ranchi. The patients miss their papayas very much as they
enjoyed eating this most delicious fruit from our garden for the
last 14 years.
We are now trying to supplement papayas by pineapples.
Our experiments on smaller scales have taught us that Ranchi
soil is suitable for growing beautiful pineapples and we are now
attempting to grow pineapples on a large scale to replace our
loss of papayas.
The total value of produce from the garden is shown
below :—
Vegetables, fruits, etc. .. ..
Fodder .. .. ..
Vegetables, etc., sold to the staff and public ..
Rs.
22,396
507
22,903
1,235
24,138
a.
7
4
11
2
13
p.
9
0
9
0
9
16
The following table shows the total garden produce during
the year under report :—
Vegetables.
Cauliflower .. ... ..
Brinjal .. .. ..
Arum .. .. .. ..
Sweet potato .. .. ..
Turnip .. .. ..
Tomato .. .. ..
Salad
..
..
..
..
Sag
..
..
..
..
Cabbage .. .. ..
Pumpkin .. .. ..
Bottle gourd .. .. ..
Peas
..
...
..
.
Green plantain .. .. ..
Beetroot .. .. ..
Carrot
..
..
..
Knol Khol .. .. ..
Onion Steam
..
..
..
Luffa
..
..
..
Cucumber .. .. ..
Bitter gourd
..
..
..
Pumpkin flowers .. ... ..
Radish ... .. ..
Green papaya .. .. ..
Snake gourd .. .. ..
Beans .. .. ..
Ash gourd .. ... ..
Lady finger .. ..
...
Potato .. .. ...
Maize cobs
..
..
..
Mds.
407
227
129
75
314
181
53
298
941
793
256
30
9
40
141
46
2
139
252
51
29
194
0
104
66
55
212
316
sr.
29
24
19
37
35
9
17
32
35
13
35
17
37
28
17
21
3
24
7
31
4
23
27
22
34
15
28
21
ch.
4
2
2
12
8
6
0
10
8
12
10
0
0
0
2
0
12
8
0
0
0
6
0
0
2
14
0
0
8,294 nos.
Spices.
Onion..
..
..
...
Garlic .. .. ..
Chillies
..
..
..
119
7
0
27
13
15
4½
0
8
17
Grains.
Groundnut .. .. ..
Arua fine rice .. .. ..
Arua coarse rice
..
..
..
Usna coarse rice .. .. ..
Mds.
34
23
1
51
sr.
4
37
10
3
ch.
0
8
8
0
Sugarcane and Gur.
Sugarcane
...
..
..
Gur
..
..
..
..
...
35
233
23
25
0
0
Fruits
Lemons
..
...
..
Ripe papayas ... ... ...
Guavas .. .. ...
Ripe plantains ... ... ...
Pomeloes ... .. ...
Oranges .. .. ..
Bel fruits .. .. ..
Rose apples .. .. ..
Sweet limes .. .. ..
Mulberry .. .. ..
Lichies .. .. ..
Peaches
..
..
..
Ripe mangoes .. .. ..
Pineapples .. .. ..
Phalsa
..
..
..
Jack fruit .. .. ..
Custard apple .. .. ..
Musk melons .. .. ..
Water melons
..
..
..
1,232 nos.
Mds.
19
sr.
39
ch.
4
9,190 nos.
2,344 „
752 „
2,500 nos.
46 „
26,111 „
186 „
29 seers.
25,025 nos.
Md.
1
sr.
10
ch
12
1,755 nos.
4 „
Md.
1
sr.
5
ch.
0
13 nos.
355 „
99 „
250 „
Poultry.
Fowls .. .. .. ..
Eggs
..
..
..
..
60 „
1,033 „
Garden tank.
Fish
..
..
..
..
Mds.
8
sr.
32
ch.
8
18
Miscellaneous.
Firewood .. .. ..
Mds.
62
sr.
0
ch.
0
Fodder.
Straw
..
..
..
..
Vegetable stalks and leaves .. ..
Grass
..
..
..
..
182
508
882
20
8
3
0
0
0
32. Finance—(1) Receipts.—The receipts from all sources
amounted to Rs. 25,153-1-6 as compared with Rs. 25,459-4-0 in
1938 and Rs. 27,422-9-4 in 1937.
The following table shows the total amount of realisation
from paying patients and also the miscellaneous receipts, which
include the sale-proceeds of garden vegetables and other articles
manufactured by patients in the Occupational
Therapy
Departments:—
Heads.
Receipts from pay-
ing patients.
Miscellaneous ..
1939.
Rs.
21,224
3,928
a.
2
15
p.
6
0
1938.
Rs.
23,357
2,101
a.
6
13
p.
9
3
1937.
Rs.
25,101
2,320
a.
11
14
p.
1
3
(2) Expenditure.—The total expenditure exclusive of
amounts received from paying patients and miscellaneous receipts
was Rs. 4,80,951-4-9 in 1939, as compared with Rs. 4,63,509-2-1
in 1938 and Rs. 4,83,678-5-4 in 1937.
33. Annual average cost per patient.—The following table
shows the annual average cost per patient during the year under
review and the two previous years :—
Year.
1939
1938
1937
Annual cost per head
including P. W. D.
charges.
Rs.
353
344
365
a.
9
10
9
p.
2
4
9
Annual cost per head
excluding P. W. D.
charges.
Rs.
326
312
331
a.
5
6
0
p.
3
2
4
34. Staff.—General health, transfers and conduct.
The general health of the staff throughout the year under
report was good.
Dr. A. M. Sen, M.B., Second Assistant Superintendent, on
completion of two years' tenure of training in this hospital
returned to his own province (Bengal) on the 2nd November
19
1939. Dr. Son was replaced by Dr. S. Goswami, M.B., who
joined here on the 2nd November 1939. Dr. Sen during his
service in this hospital did splendid work and was a very popular
figure amongst patients and staff.
The work and general conduct of the staff as a whole were
of the usual high standard. I express my indebtedness to the
staff as a whole for their loyalty and the whole-hearted co-
operation in the management of the hospital in general and to
the two Assistant Superintendents for their valuable help and
constant loyalty to me in particular.
35. Managing Committee. —The following members were
either appointed or re-appointed during the year under review
for another term of three years :—
1. Secretary to the Government of Bengal, Local Self-
Government Department.
2. Surgeon General with the Government of Bengal.
3. Mr. Saileswar Singh Roy, M.L.C.
4. Mr. Jagat Chandra Mandal, M.L.A.
5. Maulavi Abdul Hakeem, M.A., B.L., M.L.A.
6. Khan Bahadur Maulavi Abdul Momin, C.I.E.
7. Mr. M. Farhat Reza Chowdhury, M.L.A.
8. Mr. Abdul Rashid Mahmood, M.L.A.
9. The Commissioner of Chota Nagpur Division.
10. Inspector-General of Civil Hospitals, Bihar.
11. Babu Brajeshwar Sahay, B.A., B.L.
12. Mr. Mohiuddin, M.L.A.
13. Director of Health and Inspector-General of Prisons
Orissa.
I wish to record my thanks to the Chairman and the
members of the Managing Committee for their invaluable
support, guidance and sympathetic considerations in all affairs
appertaining to the hospital which were brought before them
during the year under report.
36. Committee of Visitors.—Both ladies and gentlemen of
the Board of Visitors took a keen interest in the welfare of the
hospital and worked throughout the year with unremitting zeal.
20
Twelve meetings in the Male Section and 12 in the Female
Section were held during the year under report.
The hospital was also visited by the following officials and
other distinguished personages during the year under review :—
1. Dr. Rajendra Prasad, President, Indian National
Congress.
2. The Commissioner of Chota Nagpur Division.
3. The Deputy Commissioner, Ranchi.
4. The Surgeon General with the Government of Bengal.
5. The Raja Bahadur of Tamkohi.
6. The Hon'ble Mr. Jaglal Choudhury, Minister of Excise
and Public Health, Bihar.
7. The Inspector-General of Civil Hospitals, Bihar.
8. The Members of Managing Committee.
37. Casual Visitors.—Besides, the hospital was visited by
several ladies and gentlemen, Indians and Europeans, throughout
the year under report.
I express my gratitude on behalf of my patients to all the
charitably disposed ladies and gentlemen who contributed freely
to our Donation Fund during 1939.
38. Lectures.—The students of the Prince of Wales Medical
College, Patna, were as usual sent in two batches to this hospital
during the year under report to undergo a course of intensive
training in mental diseases.
The post-graduate students of the Department of Psychology
and Philosophy of the Calcutta University and several students
of the Gurukul Vishwavidyalaya, Kangri, also visited the
hospital, during the year under report. On these occasions short
lectures with demonstrations of cases on special requests were
delivered by me to the students.
39. General— (1) Kanke Employees Co-operative Credit
Society.—The Society continued to flourish in every respect and
rendered valuable help by granting loans to some of the staff
who were in need of the help of the Society to get themselves
freed from the clutches of the local Shylocks. The number of
share-holders increased from 340 to 362 in the year under report.
(2) Bratachari Movement.—Remedial classes were regularly
held every evening and some patients were trained in the Brata-
21
chari dance along with some of the attendants. Patients have
taken a great liking to the Bratachari Movement which was
only introduced last year. Mr. G. S. Dutt, I.C.S., the founder
and the very life and soul of this movement attended a demons-
tration given by our patients and congratulated us for the good
start and advised us to keep it up.
(3) Patna Psychiatric Clinic.— As fully stated in my last
report the Psychiatric Clinic was opened in January 1939, at the
Patna Medical College, and as ordered by Government I paid my
first annual visit to the clinic and delivered lectures and clinic
to the students. The clinic has made a fair start under the able
guidance of Dr. S. M. Ghoshal, M.R.C.P. (Lond.) and is destined
to play a great part in relieving the human sufferings along with
the other departments of the Patna Medical College.
(4) Public Lectures.—During
my sojourn in Patna I
delivered the following lectures on special requests from the
Associations :—
(1) Modern Problems in Psychiatry and Criminality at
the Medico Legal Society of Bihar under the
Presidentship of the Hon'ble the Chief Justice of
Patna High Court.
(2) Psychoneurosis and Shell Shock at the Patna Medical
Association.
(3) " Psychological
and Economic factors in Birth
Control " at the Students' Medical Associations.
The subject was selected by the students.
J. E. DHUNJIBHOY,
LT.-COL., I.M.S.,
Superintendent, Indian Mental Hospital,
Kanke (Ranchi).
24
STATEMENT
Showing the admissions, discharges, etc, of patients in the Ranchi Indian
1
Years.
1939 ... ...
1938
...
...
1937
...
...
2
Remained on 1st
January.
Males.
1,096
1,06 8
1,062
Females.
262
256
256
Total.
1,358
1,324
1,318
3
Admitted.
Males.
75
122
110
Females.
32
33
26
Total.
107
155
136
4
Re-admittied.
Males.
9
13
12
Females.
4
7
6
Total.
13
20
18
5
Total population.
Males.
1,180
1,203
1,184
Females.
298
296
288
Total.
1,478
1,499
1,472
6
Years.
1939 ... ...
1938 ... ...
1937 ... ...
7
Died.
Males.
24
32
31
Females.
9
9
8
Total.
33
41
39
8
Remaining on
31st December.
Males.
1,094
1,096
1,068
Females.
259
262
256
Total.
1,253
1,358
1,324
9
Daily average strength.
Males.
1096.94
1086,23
1067.40
Females.
263.33
258.65
255.58
Total.
1360.27
1344.88
1322.93
10
Daily average sick.
Males.
70.83
59.48
60.63
Female .
26.50
13.80
13.50
Total.
97.33
73.28
74.13
Observation cases are excluded
The capacity of the Ranchi Indian Mental Hospital is at 50 superficial feet per patient
The maximum number of lunatics confined on any one night was
25
No. 1
Mental Hospital, Kanke, during the year 1939, and the two previous years.
6
Discharged.
A
Cured.
Males.
50
65
68
Females.
26
17
16
Total.
76
82
84
B
Transferred to friends.
Improved.
Males.
9
6
9
Females.
3
6
6
Total.
12
12
15
Not improved.
Males.
2
2
7
Females.
...
2
2
Total.
2
4
9
C
Otherwise.
Males.
1
2
1
Females.
1
...
...
Total.
2
2
1
D
Total.
Males.
62
75
85
Females.
30
25
24
Total.
92
100
109
11
Percentage to—
Daily average strength.
A
Cured.
Males.
4.56
5.98
6.37
Females.
9.87
6.57
6.16
Total.
5.58
6.10
6.36
B
Died.
Males.
2.19
2.96
2.90
Females.
3.42
3.48
3.13
Total.
2.43
3.05
2.95
Admissions.
C
Cured.
Males.
26.19
28.15
27.37
Females.
30.56
27.50
31.26
Total.
27.50
28.00
28.57
D
Died.
Males.
...
2.96
3.28
Females.
...
2.50
3.13
Total.
...
5.86
3.26
from this statement.
1,014+94 for males, 272 for females—Total 1,265+94.
1,103 males, 266 females—Total 1,369.
26
STATEMENT II
Showing cases admitted for observation in the Ranchi Indian Mental Hospital, Kanke, during the year 1939.
Name of Hospital.
Indian
Mental
Hospital,
Kanke,
Ranchi.
Year.
1939 ...
Remaining on 1st January
1939.
M.
...
F.
...
T.
...
Admitted daring 1939.
M.
2
F.
... T.
2
Re-admitted.
M.
...
F.
...
T.
...
Certified and admitted into the
Hospital.
M.
1
F.
...
T.
1
Certified and released under
section 14 of Act IV of 1912.
M.
...
F.
...
T.
...
Released as uncertified.
M.
1
F.
...
T.
1
Died.
M.
...
F.
...
T.
...
Remaining en Slat December
1939.
M.
...
F.
...
T.
...
Remarks.
27
STATEMENT III.
Return of criminal patients in the Ranchi Indian Mental Hospital, Kanke, for the year 1939, and the two previous years.
1
Years.
1939
...
1938 ...
1937 ...
2
Remaining on 1st
January.
Males.
458
439
436
Females.
42
48
48
Total.
500
487
484
3
Admitted.
Males.
16
50
31
Females.
6
5
5
Total.
22
55
36
4
Re-admitted.
Males.
1
5
3
Females.
...
...
4
Total.
1
5
7
5
Total.
Males.
475
494
470
Females.
48
53
57
Total.
523
547
527
6
Discharged, trans-
ferred, etc.
Males.
13
29
24
Females.
6
9
8
Total.
(a)
18
(b)
38
(c)
32
7
Died.
Males.
4
7
7
Females.
1
2
1
Total.
5
9
8
8
Remaining on 31st
December.
Males.
458
458
439
Females.
42
42
48
Total.
500
500
487
9
Daily average
strength.
Males.
438.95
439.86
433.69
Females.
44.72
44.13
41.24
Total.
481.67
483.99
474.93
(a) Of which (1) 9 male and (2) 1 female patients were transferred to the non-criminal class,
(b) Do.
18 male and 6
ditto
ditto.
(c) Do. 7 male and 1 female patients were transferred to the non-criminal class.